CClinicalTrials.gg
CompletedNCT05225584Updated Mar 19, 2025

Safety, PK, PD, Clinical Activity of KT-333 in Adult Patients With Refractory Lymphoma, Large Granular Lymphocytic Leukemia, Solid Tumors

A Phase 1 interventional study of KT-333 in Non Hodgkin Lymphoma (NHL), Peripheral T-cell Lymphoma (PTCL) and Cutaneous T-Cell Lymphoma (CTCL), sponsored by Kymera Therapeutics, Inc.. Completed at 13 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-19.

Sponsored by Kymera Therapeutics, Inc. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Mar 2025, 1 year 7 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
56
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This Phase 1a/1b study will evaluate the safety, tolerability and the pharmacokinetics/pharmacodynamics (PK/PD) of KT-333 in Adult patients with Relapsed or Refractory (R/R) Lymphomas, Large Granular Lymphocytic Leukemia (LGL-L), T-cell prolymphocytic leukemia (T-PLL), and Solid Tumors. The Phase 1a stage of the study will explore escalating doses of single-agent KT-333. The Phase Ib stage will consist of 4 expansion cohorts to further characterize the safety, tolerability and the pharmacokinetics/pharmacodynamics (PK/PD) of KT-333 in Peripheral T-cell Lymphoma (PTCL), Cutaneous T-Cell Lymphoma (CTCL), LGL-L, and solid tumors.

Read the detailed description

This is an open-label Phase 1a (dose escalation)/1b (dose expansion) first-in-human study of KT-333 in adult patients. Patients with relapsed/refractory (R/R) lymphomas, LGL-L, T-PLL, and solid tumors will be enrolled in Phase 1a. Phase 1b will consist of separate cohorts of patients with R/R PTCL, CTCL, LGL-L, and solid tumors.

02

Conditions studied

  • Non Hodgkin Lymphoma (NHL)
  • Peripheral T-cell Lymphoma (PTCL)
  • Cutaneous T-Cell Lymphoma (CTCL)
  • Large Granular Lymphocytic Leukemia (LGL-L)
  • T-cell Prolymphocytic Leukemia (T-PLL)
  • Solid Tumors
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 56 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Kymera Therapeutics, Inc. is the lead sponsor of 12 studies on the registry; 4 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Phase 1a Only: Cytologically or pathologically confirmed Lymphomas (including Hodgkin's, B-cell, T-cell, Small Lymphocytic, or Natural-Killer (NK)-cell Lymphomas and LGL-L), T-PLL and solid tumors with the exception of chronic lymphocytic leukemia (CLL) Note: Patients with indolent non-Hodgkin's lymphoma (NHL) and small lymphocytic lymphoma (SLL) are only eligible if not require immediate cytoreductive therapy or if there are no available treatments with potential benefit.
  2. Phase 1b Only: Histologically or pathologically confirmed PTCL, CTCL, LGL-L [T-cell LGL-L or Chronic Lymphoproliferative Disorder of NK-cells (CLPD-NK)], or solid tumors.
  3. Fresh or archival formalin fixed paraffin embedded (FFPE) tumor tissue or 15 slides preferably collected within 6 months or 2 years prior to first dose of the study drug (for lymphoma and solid tumor patients respectively).
  4. Phase 1a only: Lymphoma and Solid Tumor: Relapsed and/or refractory disease to at least 2 prior systemic standard of care treatments or for whom standard therapies are not available.
  5. Phase 1a: LGL-L/T-PLL only: Relapsed and/or refractory disease to at least 1 prior systemic standard of care treatment or for whom standard therapies are not available.
  6. Phase 1b only: All disease types: Relapsed and/or refractory disease to at least 1 prior systemic standard of care treatments or for whom standard therapies are not available.
  7. LGL-L patients only (hematology specific criteria):

    • One of the following:

      • Severe neutropenia \< 500/mm3, or,
      • Symptomatic anemia and/or,
      • Transfusion-dependent anemia.
    • ANC ≥ 200/μL at Screening and C1D1 (pre dose)
    • Platelet count ≥ 100,000/μL (assessed ≥ 7 days following last platelet transfusion in patients with thrombocytopenia requiring platelets).
  8. LGL-L Patients Only (baseline disease characteristics):

    • CD3+CD8+ cell population >650/mm3;
    • CD3+CD8+CD57+ population >500/mm3;
    • Presence of a clonal T-cell receptor (within 1 month of diagnosis);
    • Note: patients with T-LGLL may be included with PI approval even if CD3+CD8+ cell population is\<650/mm3 or CD3+CD8+CD57+ population is \<500/mm3, though +TCR is required;
    • NK LGL is also permitted, provided there is a clonal NK-cell population noted with>500 cells/mm3
  9. PTCL and solid tumors Only: Measurable disease at Screening. Solid tumor patients with non-measurable disease are allowed in Phase1a
  10. T-PLL: Measurable disease per Lugano and/or atypical T lymphocytes quantifiable by flow cytometry or morphology in the peripheral blood or bone marrow.
  11. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 at Screening and C1D1 (pre-dose).
  12. Adequate bone marrow function at Screening and C1D1 (pre-dose) for all patients except those with LGL-L Adequate liver/kidney organ function at Screening and C1D1 (pre-dose) for all patients.
  13. Women of childbearing potential (WOCBP) must agree to use highly effective contraceptive methods for the duration of study treatment and 6 months after the last dose of KT333.

Exclusion criteria

Exclusion Criteria:

  1. Known active uncontrolled or symptomatic central nervous system (CNS) metastases, carcinomatous meningitis, or leptomeningeal disease as indicated by clinical symptoms, cerebral edema, and/or progressive growth.

    Note: Patients with solid tumors are eligible if their CNS metastases or cord compression have been treated (e.g., radiotherapy, stereotactic surgery) and they are clinically stable, off steroids for at least 4 weeks before first dose of study drug and have no evidence of progression at time of study enrollment.

    Note: Patients with lymphomas are eligible if their CNS metastases or cord compression have been treated effectively (i.e. achieved CR) and there is no clinical or radiographic evidence of active lymphoma.

  2. Diagnosis of Chronic Lymphocytic Leukemia (CLL).
  3. History of or active concurrent malignancy other than lymphoma or solid tumors unless the patient has been disease-free for ≥ 2 years.
  4. Patient has not recovered from any clinically significant adverse events (AEs) of previous treatments to pretreatment baseline or Grade 1 prior to first dose of study drug.
  5. Ongoing unstable cardiovascular function.
  6. Autologous hematopoietic stem cell transplant less than 3 months prior to first dose of study drug.
  7. Prior allogenic hematopoietic or bone marrow transplant.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
56 participants (actual)

Study arms

  • Experimental
    Phase 1a Dose Escalation Lymphomas

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

  • Experimental
    Phase 1a Dose Escalation Solid Tumors

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

  • Experimental
    Phase 1b Dose Expansion PTCL

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

  • Experimental
    Phase 1b Dose Expansion CTCL

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

  • Experimental
    Phase 1b Dose Expansion LGL-L

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

  • Experimental
    Phase 1b Dose Expansion Solid Tumor

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

  • Experimental
    Phase 1a Dose Escalation LGL-L

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

  • Experimental
    Phase 1a Dose Escalation T-PLL

    KT-333 dosed IV weekly in 28 day cycles

    Drug: KT-333

Interventions

  • DrugKT-333

    KT-333 will be supplied as 10mg/mL concentration frozen solution to be administered intravenously per the protocol defined frequency and dose level.

06

What researchers measure

Primary outcomes

  1. Safety

    Incidence and severity of adverse events as assessed by CTCAE v5.0 Phase 1a/1b

    Time frame: Safety will be assessed from the time ICF signature through 30 days post dose or prior to start of a new anticancer therapy

  2. Safety

    Incidence and severity of clinical laboratory abnormalities in Serum Chemistry, Hematology, Coagulation Parameters and urinalysis tests as assessed by CTCAE v5.0 Phase 1a/1b

    Time frame: Safety will be assessed from the time ICF signature through 30 days post dose or prior to start of a new anticancer therapy

  3. Safety

    Changes in the ECG parameters, including heart rate and measures PR, QRS, QT, and QTc intervals as assessed by CTCAE v5.0 Phase 1a/1b

    Time frame: Safety will be assessed from the time ICF signature through 30 days post dose or prior to start of a new anticancer therapy

  4. Maximum Tolerated Dose (MTD)

    To establish the Maximum Tolerated Dose (MTD) Phase 1a

    Time frame: Within the first 28 days of treatment

  5. Dose Limiting Toxicities (DLTs)

    Number of Participants with protocol specified Dose Limiting Toxicities (DLTs) Phase 1a

    Time frame: Within the first 28days of treatment

Secondary outcomes

  1. Area under the plasma concentration versus time curve for KT-333

    Area under the plasma concentration versus time curve for KT-333 from time to zero to last quantifiable time point (AUC 0-t ) Phase 1a/1b

    Time frame: Blood samples for PK analysis collected at multiple visits during cycle 1 and cycle 2 (each cycle is 28days)

  2. Maximum Plasma Concentration of KT-333 (Cmax)

    Maximum Plasma Concentration of KT-333 (Cmax)

    Time frame: Blood samples for PK analysis collected at multiple visits during cycle 1 and cycle 2 (each cycle is 28days)

  3. Time of maximum plasma concentration of KT-333 (Tmax)

    Time of maximum plasma concentration of KT-333 (Tmax) Phase 1a/1b

    Time frame: Blood samples for PK analysis collected at multiple visits during cycle 1 and cycle 2 (each cycle is 28days)

  4. Half-life of KT-333 if data permits (T1/2)

    Half-life of KT-333 if data permits (T1/2) Phase 1a/1b

    Time frame: Blood samples for PK analysis collected at multiple visits during cycle 1 and cycle 2 (each cycle is 28days)

  5. Amount of KT-333 dose excreted in urine from time zero to last collected time point (Ae0-t)

    Amount of KT-333 dose excreted in urine from time zero to last collected time point (Ae0-t) Phase 1a

    Time frame: Urine samples for PK analysis collected at multiple visits during cycle 1 and cycle 2 (each cycle is 28days)

  6. Evidence of clinical activity of KT-333

    Evidence of clinical activity of KT-333 as determined by Objective Response Rate (ORR) as per Lugano criteria 2014 for Lymphomas Phase 1a/1b.

    Time frame: From date of baseline scan until the date of first documented progression or date of death from any cause, whichever came first, about 18 months

  7. Evidence of clinical activity of KT-333

    Evidence of clinical activity of KT-333 as determined by RECIST 1.1 to determine ORR , complete response (CR), partial response (PR) for solid tumors Phase 1a/1b.

    Time frame: From date of baseline scan until the date of first documented progression or date of death from any cause, whichever came first, about 18 months

  8. Evidence of clinical activity of KT-333

    Evidence of clinical activity of KT-333 as determined by ORR by Modified Severity-Weighted Assessment Tool (mSWAT) for Cutaneous T-Cell Lymphoma (CTCL) Phase 1a/1b

    Time frame: Composite assessment from date of baseline assessment until the date of first documented progression or date of death from any cause, whichever came first, about 18 months

  9. Evidence of clinical activity of KT-333

    Evidence of clinical activity of KT-333 as determined by ORR by investigator assessment for Large Granular Lymphocytic Leukemia (LGL-L) Phase 1a/1b

    Time frame: From date of baseline scan until the date of first documented progression or date of death from any cause, whichever came first, about 18 months

  10. Evidence of clinical activity of KT-333

    Evidence of clinical activity of KT-333 as determined by ORR based on T-PLL International Study Group criteria, Phase 1a

    Time frame: From date of baseline scan until the date of first documented progression or date of death from any cause, whichever came first, about 18 months

  11. Duration of Response (DOR)

    Duration of Response (DOR) Phase 1a/1b

    Time frame: From date of first of response to the date of documented first progression or death whichever comes first, about 18 months

07

Study locations

13 sites
  • UC Irvine Health-Chao Family Comprehensive Cancer Center
    Orange, California 92868-3201, United States
  • Norton Cancer Institute
    Louisville, Kentucky 40207, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Hackensack University Medical Center, John Theurer Cancer Center
    Hackensack, New Jersey 07601, United States
  • Montefiore Medical Center, The University Hospital for Albert Einstein College of Medicine
    Bronx, New York 10467, United States
  • The Christ Hospital Cancer Center
    Cincinnati, Ohio 45219, United States
  • Ohio State University Wexner Medical Center
    Columbus, Ohio 43210-1240, United States
  • Abramson Cancer Center of the University of Pennsylvania Perelman Center for Advanced Medicine
    Philadelphia, Pennsylvania 19104, United States
  • Thomas Jefferson University, Sidney Kimmel Cancer Center
    Philadelphia, Pennsylvania 19107, United States
  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Virginia, Emily Couric Cancer Center
    Charlottesville, Virginia 22903, United States
  • University of WA/Seattle Cancer Care Alliance
    Seattle, Washington 98195, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05225584
Lead sponsor
Kymera Therapeutics, Inc.
Responsible party
Sponsor
First posted
Feb 4, 2022
Start date
May 19, 2022
Primary completion
Mar 3, 2025
Completion
Mar 3, 2025
Last update
Mar 19, 2025

Study contacts

Ashwin Gollerkeri, MD
study director · Kymera Therapeutics, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion