NCT05438329

Brief Summary

This is a dose-escalation and dose-expansion Phase 1/2a trial to evaluate the safety and tolerability of DB-1305/BNT325 in subjects with advanced solid tumors.

Trial Health

78
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,123

participants targeted

Target at P75+ for phase_1

Timeline
14mo left

Started Jul 2022

Longer than P75 for phase_1

Geographic Reach
3 countries

93 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress79%
Jul 2022Sep 2027

First Submitted

Initial submission to the registry

June 14, 2022

Completed
15 days until next milestone

First Posted

Study publicly available on registry

June 29, 2022

Completed
20 days until next milestone

Study Start

First participant enrolled

July 19, 2022

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 13, 2027

Expected
28 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 10, 2027

Last Updated

May 12, 2026

Status Verified

May 1, 2026

Enrollment Period

5.1 years

First QC Date

June 14, 2022

Last Update Submit

May 8, 2026

Conditions

Outcome Measures

Primary Outcomes (8)

  • Phase 1: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0.

    Percentage of participants in Part 1 with DLTs

    up to 28 days after Cycle 1 Day 1

  • Phase 1: Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) as assessed by CTCAE v5.0.

    Percentage of participants with TEAEs in Part 1 graded according to NCI CTCAE v5.0

    Up to 30 days after last study treatment administration or before starting new anticancer treatment, whichever comes first.

  • Phase 1: Percentage of Participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.

    Percentage of Participants with SAEs in Part 1 graded according to NCI CTCAE v5.0

    Up 30 days after last study treatment administration or before starting new anticancer treatment, whichever comes first.

  • Maximum Tolerated Dose (MTD) of DB-1305/BNT325

    MTD on the data collected during Part 1

    At the end of Cycle 1 (each cycle is up to 21 days)

  • Phase 1: RP2D of DB-1305/BNT325

    RP2D of DB-1305/BNT325 based on the data collected during Part 1

    From first study treatment administration until the initiation of Phase 2a, approximately up to 12 months.

  • Phase 2a: Percentage of Participants with TEAEs as assessed by CTCAE v5.0.

    Percentage of participants with TEAEs in Part 2 graded according to NCI CTCAE v5.0 (secondary outcome measure in cohort 3)

    Up to 30 days after last study treatment administration or before starting new anticancer treatment, whichever comes first.

  • Phase 2a: Percentage participants with SAEs as assessed by CTCAE v5.0.

    Percentage of participants with SAEs in Part 2 graded according to NCI CTCAE v5.0 (secondary outcome measure in cohort 3)

    Up to 30 days after last study treatment administration or before starting new anticancer treatment, whichever comes first.

  • Phase 2a: Objective Response Rate (ORR) as assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.

    The percentage of subjects who had a best response rating of CR and PR

    Up to disease progression or death or before starting new anticancer treatment or withdrawal from the trial, whichever comes first, approximately up to 12 months.

Secondary Outcomes (12)

  • Phase 1: ORR will be determined from tumor assessments by investigator per RECIST 1.1

    with 8 cycles (each cycle is up to 21 days)

  • Phase 1 & Phase 2a: duration of response (DoR) will be determined from tumor assessments by investigator per RECIST 1.1

    with 8 cycles (each cycle is up to 21 days)

  • Phase 1 & Phase 2a: disease-control rate (DCR)

    with 8 cycles (each cycle is up to 21 days)

  • Phase 1 & Phase 2a: time to response (TTR)

    with 8 cycles (each cycle is up to 21 days)

  • Phase 1 & Phase 2a: progression free survival (PFS) will be determined from tumor assessments by investigator per RECIST 1.1

    with 8 cycles (each cycle is up to 21 days)

  • +7 more secondary outcomes

Study Arms (30)

DB-1305/BNT325 Dose Level 1

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 1

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Level 2

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 2

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Level 3

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 3

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Level 4

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 4

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Level 5

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 5

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Level 6

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 6

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Level 7

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 7

Drug: DB-1305/BNT325

DB-1305/BNT325 in combination with pembrolizumab

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 in combination with pembrolizumab

Drug: DB-1305/BNT325Combination Product: Pembrolizumab

DB-1305/BNT325 Dose Expansion 1

EXPERIMENTAL

subjects with Non-Small Cell Lung Cancer (NSCLC) with actionable genetic alterations (AGAs) who will receive DB-1305/BNT325 on either dose level 1 or dose level 2

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 2

EXPERIMENTAL

Enrolled subjects with NSCLC without AGAs who will receive DB-1305/BNT325 on either dose level 1 or dose level 2

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 3

EXPERIMENTAL

Enrolled subjects with OC who will receive DB-1305/BNT325 on either dose level 1 or dose level 2

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 4

EXPERIMENTAL

Enrolled subjects with BC who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 5

EXPERIMENTAL

Enrolled subjects with Triple-Negative Breast Cancer (TNBC) who have progressed on or after standard systemic treatments and without prior treatment of sacituzumab govitecan who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 6

EXPERIMENTAL

Enrolled subjects with TNBC with treatment failure on sacituzumab govitecan who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 7

EXPERIMENTAL

Enrolled subjects with EC who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 8

EXPERIMENTAL

Enrolled subjects with malignant mesothelioma will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 9

EXPERIMENTAL

Enrolled subjects with Cervical Cancer (CC) who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

Experimental: DB-1305/BNT325 Dose Expansion 10

EXPERIMENTAL

Enrolled subjects with pancreatic cancer who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion 11

EXPERIMENTAL

Enrolled subjects with Castration-Resistant Prostate Cancer (CRPC) who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion PB1

EXPERIMENTAL

Enrolled subjects with NSCLC without AGAs who will receive DB-1305/BNT325 on a selected dose level in combination with pembrolizumab

Drug: DB-1305/BNT325Combination Product: Pembrolizumab

Experimental: DB-1305/BNT325 Dose Level 8

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 8

Drug: DB-1305/BNT325

Experimental: DB-1305/BNT325 in combination with BNT327

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 in combination with BNT327

Drug: DB-1305/BNT325Drug: BNT327

Experimental: DB-1305/BNT325 Dose Expansion PM1

EXPERIMENTAL

Enrolled subjects with NSCLC without AGAs who will receive DB-1305/BNT325 on a selected dose level in combination with BNT327

Drug: DB-1305/BNT325Drug: BNT327

Experimental: DB-1305/BNT325 Dose Expansion PM2

EXPERIMENTAL

Enrolled subjects with NSCLC with AGAs who will receive DB-1305/BNT325 on a selected dose level in combination with BNT327

Drug: DB-1305/BNT325Drug: BNT327

Experimental: DB-1305/BNT325 Dose Expansion PM3

EXPERIMENTAL

Enrolled subjects with CC who will receive DB-1305/BNT325 on a selected dose level in combination with BNT327

Drug: DB-1305/BNT325Drug: BNT327

Experimental: DB-1305/BNT325 Dose Expansion PM4

EXPERIMENTAL

Enrolled subjects with OC who will receive DB-1305/BNT325 on a selected dose level in combination with BNT327

Drug: DB-1305/BNT325Drug: BNT327

Experimental: DB-1305/BNT325 Dose Expansion PM5

EXPERIMENTAL

Enrolled subjects with TNBC who will receive DB-1305/BNT325 on a selected dose level in combination with BNT327

Drug: DB-1305/BNT325Drug: BNT327

DB-1305/BNT325 Dose Expansion 12

EXPERIMENTAL

Enrolled subjects with head and neck cancer who will receive DB-1305/BNT325 on a selected dose level (RP2D)

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Level 9

EXPERIMENTAL

Enrolled subjects will receive DB-1305/BNT325 at Dose Level 9

Drug: DB-1305/BNT325

DB-1305/BNT325 Dose Expansion PM6

EXPERIMENTAL

Enrolled subjects with NSCLC without AGA who will receive DB-1305/BNT325 on a selected dose level in combination with BNT327

Drug: DB-1305/BNT325Drug: BNT327

Interventions

Administered Injection of Vein (I.V.)

Also known as: DB-1305/BNT325 for Injection
DB-1305/BNT325 Dose Expansion 1DB-1305/BNT325 Dose Expansion 11DB-1305/BNT325 Dose Expansion 12DB-1305/BNT325 Dose Expansion 2DB-1305/BNT325 Dose Expansion 3DB-1305/BNT325 Dose Expansion 4DB-1305/BNT325 Dose Expansion 5DB-1305/BNT325 Dose Expansion 6DB-1305/BNT325 Dose Expansion 7DB-1305/BNT325 Dose Expansion 8DB-1305/BNT325 Dose Expansion 9DB-1305/BNT325 Dose Expansion PB1DB-1305/BNT325 Dose Expansion PM6DB-1305/BNT325 Dose Level 1DB-1305/BNT325 Dose Level 2DB-1305/BNT325 Dose Level 3DB-1305/BNT325 Dose Level 4DB-1305/BNT325 Dose Level 5DB-1305/BNT325 Dose Level 6DB-1305/BNT325 Dose Level 7DB-1305/BNT325 Dose Level 9DB-1305/BNT325 in combination with pembrolizumabExperimental: DB-1305/BNT325 Dose Expansion 10Experimental: DB-1305/BNT325 Dose Expansion PM1Experimental: DB-1305/BNT325 Dose Expansion PM2Experimental: DB-1305/BNT325 Dose Expansion PM3Experimental: DB-1305/BNT325 Dose Expansion PM4Experimental: DB-1305/BNT325 Dose Expansion PM5Experimental: DB-1305/BNT325 Dose Level 8Experimental: DB-1305/BNT325 in combination with BNT327
PembrolizumabCOMBINATION_PRODUCT

Administered I.V.

DB-1305/BNT325 Dose Expansion PB1DB-1305/BNT325 in combination with pembrolizumab
BNT327DRUG

Administered I.V.

DB-1305/BNT325 Dose Expansion PM6Experimental: DB-1305/BNT325 Dose Expansion PM1Experimental: DB-1305/BNT325 Dose Expansion PM2Experimental: DB-1305/BNT325 Dose Expansion PM3Experimental: DB-1305/BNT325 Dose Expansion PM4Experimental: DB-1305/BNT325 Dose Expansion PM5Experimental: DB-1305/BNT325 in combination with BNT327

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female adults (defined as ≥ 18 years of age or acceptable age according to local regulations at the time of voluntarily signing of informed consent).
  • Histologically or cytologically confirmed unresectable advanced/ metastatic solid tumors who have relapsed or progressed on or after standard systemic treatments or for which no standard treatment is available.
  • At least one measurable lesion as assessed by the investigator according to RECIST version 1.1 criteria.
  • Has a life expectancy of ≥ 3 months.
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1.
  • Has Left Ventricular Ejection Fraction (LVEF) ≥ 50% by either echocardiography (ECHO) or multiple-gated acquisition (MUGA) within 28 days before enrollment.
  • Has adequate organ functions within 7 days prior to Day 1 of Cycle 1.
  • Has adequate treatment washout period prior to Day 1 of Cycle 1.
  • Is willing to provide pre-existing resected tumor samples or undergo fresh tumor biopsy for the measurement of Trop-2 level and other biomarkers if not contraindicated.
  • Is capable of comprehending study procedures and risks outlined in the informed consent and able to provide written consent and agree to comply with the requirements of the study and the schedule of assessments.

You may not qualify if:

  • Has a medical history of symptomatic congestive heart failure (CHF) (New York Heart Association \[NYHA\] classes II-IV) or serious cardiac arrhythmia requiring treatment.
  • Has a medical history of myocardial infarction or unstable angina within 6 months before enrollment.
  • Has an average of Fredericia's formula-QT corrected interval (QTcF) prolongation to \> 470 millisecond (ms) in males and females based on a 12-lead electrocardiogram (ECG) in triplicate.
  • Has a medical history of non-infectious Interstitial Lung Diseases (ILD)/pneumonitis or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
  • Has a lung-specific intercurrent clinically significant illness.
  • Has an uncontrolled infection requiring IV injection of antibiotics, antivirals, or antifungals.
  • Subjects have human immunodeficiency virus (HIV) infection with acquired immune deficiency syndrome (AIDS) defining illness are not eligible for enrollment; However, subjects have had HIV infection with a cluster of differentiation 4 (CD4)+ T cell count \> 350 cells/µL and no history of an AIDS-defining illness are eligible for entry.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (93)

Site 139

Bullhead City, Arizona, 86442, United States

Location

Site 103

Cerritos, California, 90703, United States

Location

Site 136

La Jolla, California, 92093, United States

Location

Site 127

Los Angeles, California, 90027, United States

Location

Site 133

Los Angeles, California, 90067, United States

Location

Site 108

Los Angeles, California, 90404, United States

Location

Site 131

Washington D.C., District of Columbia, 20007, United States

Location

Site 122

Coral Springs, Florida, 33065, United States

Location

Site 142

Hialeah, Florida, 33013, United States

Location

Site 114

Margate, Florida, 33063, United States

Location

Site 120

Miami, Florida, 33133, United States

Location

Site 126

Ocala, Florida, 34474, United States

Location

Site 140

Orange City, Florida, 32763, United States

Location

Site 109

Plantation, Florida, 33322, United States

Location

Site 141

St. Petersburg, Florida, 33709, United States

Location

Site 117

Tamarac, Florida, 33321, United States

Location

Site 111

Honolulu, Hawaii, 96813, United States

Location

Site 134

Chicago, Illinois, 60611, United States

Location

Site 124

Dearborn, Michigan, 48126, United States

Location

Site 106

Detroit, Michigan, 48201, United States

Location

Site 125

Royal Oak, Michigan, 48073, United States

Location

Site 129

Las Vegas, Nevada, 89106, United States

Location

Site 160

Mineola, New York, 11501, United States

Location

Site 116

New York, New York, 10016, United States

Location

Site 102

New York, New York, 10065, United States

Location

Site 130

Westbury, New York, 11590, United States

Location

Site 121

Wilson, North Carolina, 27895, United States

Location

Site 101

Canton, Ohio, 44718, United States

Location

Site 132

Cincinnati, Ohio, 45219, United States

Location

Site 118

Oklahoma City, Oklahoma, 73104, United States

Location

Site 123

Philadelphia, Pennsylvania, 19107, United States

Location

Site 112

Pittsburgh, Pennsylvania, 15224, United States

Location

Site 105

Nashville, Tennessee, 37203, United States

Location

Site 110

Arlington, Texas, 76017, United States

Location

Site 104

Houston, Texas, 77030, United States

Location

Site 115

Houston, Texas, 77074, United States

Location

Site 119

Tyler, Texas, 75701, United States

Location

Site 107

Fairfax, Virginia, 22031, United States

Location

Site 135

Falls Church, Virginia, 19107, United States

Location

Site 128

Tacoma, Washington, 98405, United States

Location

Site 138

Tacoma, Washington, 98405, United States

Location

Site 137

Sheboygan, Wisconsin, 53081, United States

Location

Site 211

Bengbu, Anhui, 233099, China

Location

Site 217

Hefei, Anhui, 230031, China

Location

Site 213

Fuzhou, Fujian, 350001, China

Location

Site 214

Fuzhou, Fujian, 350014, China

Location

Site 226

Lanzhou, Gansu, 730050, China

Location

Site 245

Dongguan, Guangdong, 523059, China

Location

Site 219

Guangzhou, Guangdong, 510080, China

Location

Site 234

Guangzhou, Guangdong, 510080, China

Location

Site 225

Guangzhou, Guangdong, 510120, China

Location

Site 221

Guigang, Guangxi, 537100, China

Location

Site 235

Nanning, Guangxi, 530021, China

Location

Site 209

Nanning, Guangxi, 531200, China

Location

Site 227

Haikou, Hainan, 570102, China

Location

Site 208

Baoding, Hebei, 071030, China

Location

Site 243

Chengde, Hebei, 067000, China

Location

Site 223

Harbin, Heilongjiang, 150081, China

Location

Site 239

Anyang, Henan, 455000, China

Location

Site 202

Zhengzhou, Henan, 450000, China

Location

Site 205

Wuhan, Hubei, 430021, China

Location

Site 253

Wuhan, Hubei, 430079, China

Location

Site 231

Changsha, Hunan, 410011, China

Location

Site 224

Changsha, Hunan, 410013, China

Location

Site 252

Changsha, Hunan, 410013, China

Location

Site 233

Nanjing, Jiangsu, 210009, China

Location

Site 215

Ganzhou, Jiangxi, 341000, China

Location

Site 246

Ganzhou, Jiangxi, 341001, China

Location

Site 242

Nanchang, Jiangxi, 330029, China

Location

Site 250

Nanchang, Jiangxi, 330029, China

Location

Site 229

Nanchang, Jiangxi, 330038, China

Location

Site 201

Changchun, Jilin, 130012, China

Location

Site 249

Changchun, Jilin, 130021, China

Location

Site 248

Yanbian, Jilin, 133000, China

Location

Site 210

Shenyang, Liaoning, 110042, China

Location

Site 241

Xi'an, Shaanxi, 710100, China

Location

Site 216

Jinan, Shandong, 250117, China

Location

Site 237

Jining, Shandong, 272007, China

Location

Site 247

Linyi, Shandong, 276034, China

Location

Site 212

Linyi, Shandong, 276304, China

Location

Site 236

Qingdao, Shandong, 266035, China

Location

Site 207

Shanghai, Shanghai Municipality, 201315, China

Location

Site 238

Taiyuan, Shanxi, 030001, China

Location

Site 206

Chengdu, Sichuan, 611135, China

Location

Site 203

Tianjin, Tianjin Municipality, 300060, China

Location

Site 232

Ürümqi, Xinjiang, 830000, China

Location

Site 240

Kunming, Yunnan, 650118, China

Location

Site 222

Hangzhou, Zhejiang, 310022, China

Location

Site 220

Taizhou, Zhejiang, 317004, China

Location

Site 228

Wenzhou, Zhejiang, 325015, China

Location

Site 230

Chongqing, 400030, China

Location

Site 244

Shanghai, 200123, China

Location

Site 113

Mayagüez, Puerto Rico, 00682, Puerto Rico

Location

MeSH Terms

Interventions

Injectionspembrolizumab

Intervention Hierarchy (Ancestors)

Drug Administration RoutesDrug TherapyTherapeutics

Study Officials

  • Lily Hu

    DualityBio Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 14, 2022

First Posted

June 29, 2022

Study Start

July 19, 2022

Primary Completion (Estimated)

August 13, 2027

Study Completion (Estimated)

September 10, 2027

Last Updated

May 12, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations