Evidence map›Paper›PMID 40277179›Full record

ArticleCancer research communications2025

Safety and Efficacy of a Selective Inhibitor of Cyclin-dependent Kinase 9 (KB-0742) in Patients with Recurrent or Metastatic Adenoid Cystic Carcinoma.

Glenn J Hanna, Gregory M Cote, Rashmi Chugh, Jacob S Thomas, Jyoti Malhotra, Richard E Cutler, Tressa Hood, Luis A Carvajal, Elizabeth A Olek, Miguel A Villalona-Calero

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Cancer research communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04718675 (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), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04718675 phase1 / phase2terminatednot on this map

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

TypeinterventionalSponsorKronos BioRan2021 to 2025Enrolled135ConditionsRelapsed Solid Tumors, Refractory Solid Tumors, Non-Hodgkin Lymphoma, HGSOCArmsKB-0742
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Glenn J HannaCenter for Head and Neck Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-9969-2523
Gregory M CoteMass General Cancer Center, Boston, Massachusetts.ORCID 0000-0003-0181-886X
Rashmi ChughRogel Cancer Center, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-4633-6971
Jacob S ThomasKeck School of Medicine of USC, Los Angeles, California.ORCID 0000-0002-8420-366X
Jyoti MalhotraCity of Hope Orange County, Irvine, California.ORCID 0000-0001-8586-0234
Richard E CutlerKronos Bio, Inc., San Mateo, California.ORCID 0009-0006-8450-9702
Tressa HoodKronos Bio, Inc., San Mateo, California.ORCID 0000-0001-8241-1572
Luis A CarvajalKronos Bio, Inc., San Mateo, California.ORCID 0009-0004-0517-0727
Elizabeth A OlekKronos Bio, Inc., San Mateo, California.ORCID 0000-0003-4128-249X
Miguel A Villalona-CaleroUCI Health Chao Family Comprehensive Cancer Center, Orange, California.ORCID 0000-0002-1991-5070

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdenoid cystic carcinoma (ACC) is a rare salivary gland malignancy of the head and neck. Recurrent or metastatic ACC has very limited therapeutic options. Cyclin-dependent kinase 9 (CDK9) is a key factor in the oncogenic transcriptional regulatory network, and inhibition of CDK9 may prove beneficial in MYC-dependent tumors such as ACC. PATIENTS AND

methodsA first-in-human, phase I, two-part dose-escalation and -expansion clinical trial (NCT04718675) enrolled patients with advanced solid tumors reliant on transcription factor activation to receive KB-0742, an oral selective inhibitor of CDK9. The primary endpoint was to establish safety/tolerability while nominating a recommended phase II dose (RP2D). Secondary endpoints included characterization of pharmacokinetics and assessment of preliminary efficacy.

resultsAmong 19 patients with ACC enrolled in dose expansion at the RP2D (60 mg orally 3 days on and 4 days off each week during a 28-day cycle), the regimen was well tolerated with mild gastrointestinal toxicity and fatigue; a single grade 3 treatment-related adverse event was observed (elevated γ-glutamyl transferase). One patient discontinued for gastrointestinal toxicity. Although no responses were observed, nine of 16 (56%) eligible patients had stable disease, with four experiencing >6 months of stability. Six-month progression-free survival was 37% (95% confidence interval, 14.2-59.8). Most patients had the more indolent type II ACC phenotype and 10 (53%) had MYB alterations.

conclusionsThis dose-expansion cohort exploring the novel CDK9 inhibitor KB-0742 in patients with advanced ACC established favorable tolerability at the RP2D. Disease stabilization was observed in some patients despite a limited efficacy signal. SIGNIFICANCE: A first-in-human, phase I trial explored the safety and preliminary efficacy of the CDK9 inhibitor KB-0742 in patients with advanced, transcription factor-dependent solid tumors including ACC. KB-0742 was well tolerated with evidence of disease stabilization observed among some patients with ACC, but overall therapeutic efficacy was limited.

Indexed as

Carcinoma, Adenoid CysticCyclin-Dependent Kinase 9Neoplasm Recurrence, LocalProtein Kinase InhibitorsSalivary Gland NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNeoplasm MetastasisCDK9 protein, humanCyclin-Dependent Kinase 9Protein Kinase Inhibitors

Identifiers

PMID40277179
PMCPMC12056915

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.