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Not yet recruitingNCT07910942Updated Nov 2, 2026

A Phase 1 Trial of KAN-001 With Pembrolizumab, With or Without Chemotherapy, in Participants With PD-L1-Positive Non-Small Cell Lung Cancer

A Phase 1 interventional study of KAN-001 and Pembrolizumab in Non-Small Cell Lung Cancer, sponsored by Kanvas Biosciences. Not yet recruiting at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Kanvas Biosciences · Phase 1, Interventional, and Treatment

Updated Nov 2, 2026Newly registeredGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this Phase 1 clinical trial is to learn whether KAN-001, an investigational live biotherapeutic product, can be safely given with pembrolizumab, with or without chemotherapy, to adults with PD-L1-positive, inoperable or metastatic non-small cell lung cancer. The main questions it aims to answer are:

  • What side effects occur when KAN-001 is given with pembrolizumab, with or without chemotherapy?
  • Can the microbial strains contained in KAN-001 be detected in participants' stool after treatment?

Participants will:

  • Complete a bowel preparation before receiving the first dose of KAN-001.
  • Take a loading dose of KAN-001, followed by maintenance doses every 3 weeks.
  • Receive pembrolizumab every 3 weeks. Some participants will also receive chemotherapy.
  • Provide blood, stool, and stool-wipe samples and complete a gastrointestinal symptom diary.
  • Undergo imaging scans and other study assessments to monitor their cancer, health, and safety.
02

Conditions studied

  • Non-Small Cell Lung Cancer

Keywords

  • Non-Small Cell Lung Cancer, NSCLC, Pembrolizumab, Live Biotherapeutic Product, Microbiome, PD-L1 positive, ICI
  • Metastatic Lung Cancer
  • Lung Cancer
  • Keytruda
  • anti-PD-1
  • LBP
  • Immune Checkpoint Inhibitor
  • CPI
  • Immune Checkpoint Blockade
  • ICB
  • Fecal Microbiota Transplant
  • FMT
  • Chemotherapy
  • Immunotherapy
  • Checkpoint Inhibitor Resistance
03

In context

Carcinoma, Non-Small-Cell Lung

7,620 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,838 are open to participants now.

This study's planned enrollment of 40 is below the median of 62 across 6,019 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

This is the only study on the registry with Kanvas Biosciences as lead sponsor.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • The participant is willing and able to provide written for the trial.
  • Histologically/ confirmed diagnosis of NSCLC.
  • Have inoperable or disease that is measurable based on v1.1.
  • Not a candidate for any molecular / biomarker directed targeted therapy approved in the country where the participant is enrolled for the treatment of advanced NSCLC, including but not limited to therapies targeting epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), Proto-oncogene tyrosine-protein kinase ROS1 (ROS1), B-RAF-proto-oncogene, serine/threonine kinase, with a valine-to-glutamic acid substitution at amino acid position 600 (BRAF V600E), MET proto-oncogene, receptor tyrosine kinase, exon 14 (MET exon 14), RET proto-oncogene, receptor tyrosine kinase (RET), neurotrophic receptor tyrosine kinase (NTRK), human epidermal growth factor receptor 2 (), Neuregulin 1 (NRG1), and KRAS proto-oncogene, GTPase, with a glycine-to-cysteine-substitution at amino acid position 12 (KRAS-G12C) alterations. Tumors must be negative for EGFR and ALK sensitizing mutations.
  • An (ECOG) performance status of 0 or 1 during screening.
  • Able and willing to tolerate a polyethylene glycol (PEG)-electrolyte bowel preparation and provide stool samples.
  • Meets the applicable cohort-specific requirements (1 of the following):

    • Cohort 1: Participants not receiving chemotherapy that have tumor proportion score (TPS) of at least 50% and with no prior systemic therapy for inoperable or metastatic disease.
    • Cohort 2: Participants receiving chemotherapy that are PD-L1 positive* with TPS of at least 1% with no prior systemic therapy for inoperable or metastatic disease.
    • Cohort 3: PD-L1 TPS of at least 1% disease progression after at least 4 cycles of immune checkpoint inhibitor therapy combined with chemotherapy; last immune checkpoint inhibitor dose within 60 days before baseline; and progressive disease confirmed by a second computed tomography scan performed at least 4 weeks after the first scan.

Exclusion criteria

Exclusion Criteria:

  • Treatment with either a live biotherapeutic product and/or a fecal microbiota transplant therapy (within the past year).
  • Use or planned usage of any probiotic(s) (within 14 days), or use of antibiotics* (within 7 days) prior to KAN-001 administration.
  • Received a * (within 30 days) prior to first dose of pembrolizumab.
  • Certain digestive conditions including: prior large bowel gastrointestinal (GI) surgery*, active GI disorders (uncontrolled vomiting, diarrhea, etc.), inflammatory bowel disease (Crohn's, ulcerative colitis) that has required treatment within six months prior to screening, or a known history of an active GI parasitic infection within three months prior to screening.
  • Has received prior systemic anti-cancer therapy including agents within 4 weeks of study treatment* (excluding continuation of ongoing ICI treatment regimen).
  • Has received major surgery within last 4 weeks, without adequate recovery from the toxicity and/or complications from the prior intervention before starting study treatment.
  • Has received prior radiotherapy within 14 days of study enrollment.*
  • An unwillingness or inability to swallow size 0 capsules.
  • Screening blood test results outside the ranges required by the study, or certain positive tests for , , or .*
  • Any past or current medical, psychiatric, or substance-use condition, therapy, or laboratory abnormality that, in the study doctor's opinion, could affect the study results, prevent full participation in the study, or make participation not in the participant's best interest.
  • Pregnant, breastfeeding, or unwillingness to use protocol-specified .
  • A of less than 4 months.
  • History of solid-organ transplantation.
  • Additional active that could interfere with interpretation of the study, except for certain adequately treated cancers.
  • Symptomatic or unstable * or .
  • or uncontrolled cardiovascular disease*.
  • Active interstitial lung disease or pneumonitis, or a history of interstitial lung disease or pneumonitis requiring systemic .
  • Active disease that required systemic treatment within 7 days of KAN-001 administration, or diagnosis of immunodeficiency*.
  • Prior Grade 3 or 4 immune-related adverse events that were symptomatic and required > 6 weeks of immunosuppression.

    • *Exceptions and full details will be discussed with participants by the study team.

Note: Additional criteria apply; the study team will confirm full eligibility at screening.

Terms in these criteria, in plain language(21)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Cohort 1: ICI naïve (pembrolizumab)

    Participants previously untreated with immune checkpoint inhibitor (ICI), receiving KAN-001 with pembrolizumab.

    Biological: KAN-001

  • Experimental
    Cohort 2: ICI naïve (pembrolizumab and chemotherapy)

    Participants previously untreated with ICI, receiving KAN-001 with pembrolizumab and chemotherapy.

    Biological: KAN-001

  • Experimental
    Cohort 3: ICI refractory (pembrolizumab)

    Participants who have progressed following treatment with ICI in combination with chemotherapy, receiving KAN-001 with pembrolizumab.

    Biological: KAN-001 · Biological: Pembrolizumab

Interventions

  • BiologicalKAN-001

    Each dose of KAN-001 contains a defined consortium of commensal bacterial strains for oral administration.

  • BiologicalPembrolizumab

    Each dose of pembrolizumab contains a monoclonal antibody that blocks the programmed cell death protein 1 (PD-1) pathway and is administered by intravenous infusion.

06

What researchers measure

Primary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events

    Incidence of treatment-emergent adverse events, including clinically significant changes from baseline in clinical laboratory values, vital signs, and electrocardiograms, in participants receiving KAN-001 with pembrolizumab, with or without chemotherapy.

    Time frame: From the first dose of KAN-001 through approximately 30 days after the last dose, which may be up to approximately 2 years

Secondary outcomes

  1. Percentage of participants with KAN-001 Engraftment

    The proportion of participants with KAN-001 strains detected after treatment.

    Time frame: From baseline (screening) through the end-of-treatment visit, which may be up to approximately 2 years

07

Study locations

2 sites
  • Taylor Cancer Research Center
    Maumee, Ohio 43537, United States
    • Stephanie Ambrose · Contactsambrose@tcrcpt.org · (567) 402-4502
    • John J. Nemunaitis, MD · Principal investigator
  • Centre hospitalier de l'Université de Montréal (CHUM)
    Montreal, Quebec H2X 0C1, Canada
08

References and documents

Individual participant data

Plan to share: Undecided — The Sponsor does not currently plan to make individual participant data available. Aggregate study results may be published or otherwise publicly disclosed.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Dec 2029, 37 months later.

Of 473 industry-sponsored phase 1 interventional studies under Carcinoma, Non-Small-Cell Lung, half reached primary completion within 49 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 66. This study's planned 37 months is below that.

Counting every sponsor, half of 699 studies reached it within 50 months; a quarter within 31 and three quarters within 70.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 27, 2026
First posted
Nov 2, 2026
StartEst.
Nov 2026
Primary completionEst.
Dec 2029
CompletionEst.
Dec 2029
Last update
Nov 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07910942
Lead sponsor
Kanvas Biosciences
Responsible party
Sponsor
First posted
Nov 2, 2026
Start date
Nov 2026 (estimated)
Primary completion
Dec 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Nov 2, 2026

Study contacts

VP of Clinical Research
Contact
kyle@kanvasbio.com
(925) 252 5178
Chief Development Officer
Contact
lee@kanvasbio.com

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 not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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