A Phase 1/2a Study of DB-1311/BNT324 in Advanced/Metastatic Solid Tumors
A Phase 1/2a, Multicenter, Open-Label, First in Human Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of DB-1311 in Subjects With Advanced/Metastatic Solid Tumors
1 other identifier
interventional
862
4 countries
107
Brief Summary
This is a dose-escalation and dose-expansion Phase 1/2a trial to evaluate the safety and tolerability of DB-1311/BNT324 in subjects with advanced solid tumors.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Aug 2023
Longer than P75 for phase_1
107 active sites
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
First Submitted
Initial submission to the registry
June 13, 2023
CompletedFirst Posted
Study publicly available on registry
June 22, 2023
CompletedStudy Start
First participant enrolled
August 17, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 1, 2028
November 21, 2025
May 1, 2025
4.3 years
June 13, 2023
November 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (11)
Phase 1: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Percentage of participants in Part 1 with DLTs
Percentage of participants in Part 1 with DLTs
up to 21 days after Cycle 1 Day 1
Phase 1& Phase 2a: Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) as assessed by CTCAE v5.0.
Percentage of participants with TEAEs graded according to National Cancer Institute (NCI) CTCAE v5.0
Up to follow-up period, approximately 1 year post-treatment
Phase 1& Phase 2a: Percentage of Participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.
Percentage of Participants with SAEs graded according to NCI CTCAE v5.0
Up to follow-up period, approximately 1 year post-treatment
Phase 1 & Phase 2a: vital sign measurements
Up to follow-up period, approximately 1 year post-treatment
Phase 1& Phase 2a: clinical safety laboratory parameters
Up to follow-up period, approximately 1 year post-treatment
Phase 1& Phase 2a: Electrocardiogram (ECG) parameters
Up to follow-up period, approximately 1 year post-treatment
Phase 1& Phase 2a: Eastern Cooperative Oncology Group (ECOG) performance status (PS)
Up to follow-up period, approximately 1 year post-treatment
Phase 1& Phase 2a: left ventricular ejection fraction (LEVF)
Up to follow-up period, approximately 1 year post-treatment
Phase 1: Maximum Tolerated Dose (MTD) of DB-1311/BNT324
MTD on the data collected during Part 1
Up to the completion of Part 1 (assessed up to 12 months)
Phase 1: Recommended Phase 2 Dose (RP2D) of DB-1311/BNT324
RP2D of DB-1311/BNT324 based on the data collected during Part 1
Up to the completion of Part 1 (assessed up to 12 months)
Phase 2a: Objective Response Rate (ORR) as determined by investigator
Objective Response Rate (ORR) as determined by investigator per RECIST 1.1 in non-PC/non-GBM participants per RECIST v1.1 for soft tissue and Prostate Cancer Working Group 3 (PCWG3) criteria for bone metastases in PC participants, and ORR per neuro-oncology 2.0 (RANO 2.0) criteria in GBM participants.
Up to follow-up period, approximately 1 year post-treatment
Secondary Outcomes (15)
Phase 1: Objective response rate (ORR)
Up to follow-up period, approximately 1 year post-treatment
Phase 1 & Phase 2a: duration of response (DoR)
Up to follow-up period, approximately 1 year post-treatment
Phase 1 & Phase 2a: disease-control rate (DCR)
Up to follow-up period, approximately 1 year post-treatment
Phase 1 & Phase 2a: Time to Response (TTR)
Up to follow-up period, approximately 1 year post-treatment
Phase 1 & Phase 2a: Progression Free Survival (PFS)
Up to follow-up period, approximately 1 year post-treatment
- +10 more secondary outcomes
Study Arms (23)
DB-1311/BNT324 Dose Level 1
EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1311/BNT324 at Dose Level 1 on Day 1 of each cycle Q3W (every 3 weeks)
DB-1311/BNT324 Dose Level 2
EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1311/BNT324 at Dose Level 2 on Day 1 of each cycle Q3W
DB-1311/BNT324 Dose Level 3
EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1311/BNT324 at Dose Level 3 on Day 1 of each cycle Q3W
DB-1311/BNT324 Dose Level 4
EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1311/BNT324 at Dose Level 4 on Day 1 of each cycle Q3W
DB-1311/BNT324 Dose Level 5
EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1311/BNT324 at Dose Level 5 on Day 1 of each cycle Q3W
DB-1311/BNT324 Dose Expansion 1
EXPERIMENTALSubjects with advanced/unresectable, or metastatic SCLC who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324 randomized at dose level 1 or 2.
DB-1311/BNT324 Dose Expansion 2
EXPERIMENTALSubjects with advanced/unresectable, or metastatic NSCLC who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324 randomized at dose level 1 or 2.
DB-1311/BNT324 Dose Expansion 3
EXPERIMENTALSubjects with advanced/unresectable, or metastatic ESCC who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 4
EXPERIMENTALSubjects with advanced/unresectable, or metastatic CRPC who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324 randomized at dose level 1 or 2.
DB-1311/BNT324 Dose Expansion 5
EXPERIMENTALSubjects with advanced/unresectable, or metastatic melanoma who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 6
EXPERIMENTALSubjects with advanced/unresectable, or metastatic HCC who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 7
EXPERIMENTALSubjects with advanced/unresectable, or metastatic cervical cancer who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 8
EXPERIMENTALSubjects with other advanced or metastatic solid tumors who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 9
EXPERIMENTALSubjects with advanced/unresectable, or metastatic HNSCC (not including nasopharyngeal carcinoma \[NPC\]) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 10
EXPERIMENTALSubjects with advanced or metastatic rare tumor types who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 11
EXPERIMENTALSubjects with metastatic CRPC who have progressed on or after standard systemic treatments including no more than 2 lines of systemic chemotherapy, novel hormone therapy and lutetium-177 radioligand therapy, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 12
EXPERIMENTALTaxane-naive subjects with metastatic CRPC who have progressed on or after novel hormone therapy, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 13
EXPERIMENTALSubjects with advanced/unresectable, or metastatic HNSCC (not including NPC) who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324.
DB-1311/BNT324 Dose Expansion 14
EXPERIMENTALSubjects with epithelial OC who have had 1-3 prior lines of systemic treatment and are platinum-resistant, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324 randomized at dose level 1 or 2.
DB-1311/BNT324 Dose Expansion 15
EXPERIMENTALSubjects with Subjects with advanced/unresectable, or metastatic melanoma, ESCC, PROC and CC who have progressed on or after standard systemic treatments, a 21-day treatment cycle (i.e., once every 3 weeks) via IV will be used for DB-1311/BNT324. Lopinavir and ritonavir/ Itraconazole will be administered orally twice a day/ once a day.
DB-1311/BNT324 Dose Expansion 16
EXPERIMENTALTaxane-naive subjects with metastatic CRPC who have progressed on or after NHT, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324, combined with enzalutamide 160mg QD orally.
DB-1311/BNT324 Dose Expansion 17
EXPERIMENTALTaxane-naive subjects with metastatic CRPC who have progressed on or after NHT, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324, combined with abiraterone 1000mg QD orally.
DB-1311/BNT324 Dose Expansion 18
EXPERIMENTALCSPC subjects with suboptimal PSA response to ADT/NHT, a 21-day treatment cycle (i.e., once every 3 weeks) via intravenous infusion will be used for DB-1311/BNT324, combined with enzalutamide 160mg or abiraterone 1000mg QD orally.
Interventions
Administered I.V.(intravenous infusion)
Eligibility Criteria
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 tumor that has relapsed or progressed on or after standard systemic treatments, or is intolerable with standard treatment; or for which no standard treatment is available.
- At least one measurable lesion as assessed by the investigator according to response evaluation criteria in solid tumors (RECIST) version 1.1 criteria (measurable disease as defined by RANO 2.0 criteria for GBM subjects). Castrate-resistant prostate cancer (CRPC) subjects with bone only disease may be eligible on a case-by- case basis after discussion with the Medical Monitor.
- Has a life expectancy of ≥ 3 months.
- Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1.
- Has LVEF ≥ 50% by either echocardiography (ECHO) or multiple-gated acquisition (MUGA) within 28 days before enrollment.
- Has adequate organ function 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 B7-H3 level and other biomarkers if no contraindication.
- Note: there is no minimum B7-H3 expression level mandatory for entry into the study.
- 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.
- Male and female subjects of reproductive/childbearing potential must agree to use adequate contraceptive methods (e.g., double barrier or intrauterine contraceptive) during the study and for at least 4 months and 7 months after the last dose of study drug, respectively.
- Male subjects must not freeze or donate sperm starting at screening and throughout the study period, and at least 4 months after the final study drug administration.
- Female subjects must not donate, or retrieve for their own use, ova from the time of screening and throughout the study treatment period, and for at least 7 months after the final study drug administration.
- SCLC subjects (Phase 2a Cohort 1 ONLY):
- +44 more criteria
You may not qualify if:
- Prior treatment with B7-H3 targeted therapy.
- Prior treatment with antibody drug conjugate with topoisomerase inhibitor (e.g., trastuzumab deruxtecan).
- 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.
- Use of concomitant medications known to prolong the QT interval. If the use is deemed necessary, they should be administered with caution and closely monitoring the QT interval, after discussed with the Sponsor.
- Has a medical history of interstitial lung diseases (e.g., non-infectious interstitial pneumonia, pneumonitis, pulmonary fibrosis, and severe radiation pneumonitis) or current interstitial lung diseases or who are suspected to have these diseases by imaging at screening.
- Has a history of underlying pulmonary disorder including, but not limited to, pulmonary emboli within 3 months of the start of study treatment, severe asthma, severe COPD, restrictive lung disease, and other clinically significant pulmonary compromise or requirement for supplemental oxygen.
- Clinically significant gastrointestinal disorder including, but not limited to, history of gastrointestinal fistulation that need long-term intravenous nutrition; gastrointestinal dysfunction that need long-term enteral nutrition through the tube feeding; gastrointestinal obstruction/perforation that not recovered within 6 months prior to the enrollment.
- Untreated or incompletely treated esophageal and/or gastric varices with bleeding or high risk of bleeding; A prior bleeding event due to esophageal and/or gastric varices within 6 months prior to initiation of study treatment (Only applicable to HCC patients).
- Metastatic disease that involves major airways or blood vessels (e.g., patients with vascular invasion of the major portal vein and inferior vena cava).
- Clinically uncontrolled pleural effusion, ascites or pericardial effusion requiring drainage, peritoneal shunt or cell-free concentrated ascites reinfusion therapy within 2 weeks prior to the enrollment.
- Any autoimmune, connective tissue or inflammatory disorders (e.g., rheumatoid arthritis, Sjögren's, sarcoidosis) where there is documented, or a suspicion of pulmonary involvement at the time of screening.
- Has an uncontrolled infection requiring intravenous injection of antibiotics, antivirals, or antifungals.
- Know human immunodeficiency virus (HIV) infection.
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- DualityBio Inc.lead
- BioNTech SEcollaborator
Study Sites (107)
Research Site 111
Tucson, Arizona, 85711, United States
Research Site 125
Los Angeles, California, 90033, United States
Research Site 133
Los Angeles, California, 90067, United States
Research Site 103
Los Angeles, California, 90095, United States
Research Site 128
Santa Monica, California, 90403, United States
Research Site 118
Celebration, Florida, 34747, United States
Research Site 127
Margate, Florida, 33063, United States
Research Site 137
Orlando, Florida, 32827, United States
Research Site 101
Plantation, Florida, 33322, United States
Research Site 109
Tamarac, Florida, 33321, United States
Research Site 114
Atlanta, Georgia, 30318, United States
Research Site 139
Atlanta, Georgia, 30322, United States
Research Site 115
Louisville, Kentucky, 40202, United States
Research Site 129
Detroit, Michigan, 48201, United States
Research Site 121
Saint Paul, Minnesota, 55101, United States
Research Site 110
Las Vegas, Nevada, 89169, United States
Research Site 107
New York, New York, 10032, United States
Research Site 138
Canton, Ohio, 44718, United States
Research Site 113
Cincinnati, Ohio, 45267, United States
Research Site 131
Dayton, Ohio, 45409, United States
Research Site 123
Charleston, South Carolina, 29425, United States
Research Site 108
Greenville, South Carolina, 29607, United States
Research Site 136
Nashville, Tennessee, 37203, United States
Research Site 135
Austin, Texas, 78731, United States
Research Site 120
Dallas, Texas, 75390, United States
Research Site 102
Fairfax, Virginia, 22031, United States
Research Site 112
Fairfax, Virginia, 22031, United States
Research Site 105
Spokane, Washington, 99208, United States
Research Site 208
Blacktown, New South Wales, 2148, Australia
Research Site 215
Camperdown, New South Wales, 2050, Australia
Research Site 212
Concord, New South Wales, 2139, Australia
Research Site 217
New Lambton Heights, New South Wales, 2305, Australia
Research Site 201
Sydney, New South Wales, 2031, Australia
Research Site 205
Sydney, New South Wales, 2109, Australia
Research Site 206
Sydney, New South Wales, 2228, Australia
Research Site 216
Waratah, New South Wales, 2298, Australia
Research Site 209
Birtinya, Queensland, 4575, Australia
Research Site 203
Brisbane, Queensland, 4102, Australia
Research Site 210
Gold Coast, Queensland, 4224, Australia
Research Site 202
Nedlands, Western Australia, 6009, Australia
Research Site 207
Nedlands, Western Australia, 6009, Australia
Research Site 319
Hefei, Anhui, 230031, China
Research Site 365
Beijing, Beijing Municipality, 100034, China
Research Site 310
Beijing, Beijing Municipality, 100142, China
Research Site 337
Beijing, Beijing Municipality, 100142, China
Research Site 327
Chongqing, Chongqing Municipality, 400030, China
Research Site 345
Chongqing, Chongqing Municipality, 400072, China
Research Site 353
Chongqing, Chongqing Municipality, 400072, China
Research Site 356
Chongqing, Chongqing Municipality, 400072, China
Research Site 313
Fuzhou, Fujian, 350001, China
Research Site 314
Guangzhou, Guangdong, 510060, China
Research Site 322
Guangzhou, Guangdong, 510060, China
Research site 367
Guangzhou, Guangdong, 510120, China
Research Site 346
Guangzhou, Guangdong, 510282, China
Research Site 348
Guangzhou, Guangdong, 510300, China
Research Site 350
Guangzhou, Guangdong, 510515, China
Research Site 360
Nanning, Guangxi, 530021, China
Research Site 334
Baoding, Hebei, 071030, China
Research Site 315
Harbin, Heilongjiang, 150081, China
Research Site 316
Luoyang, Henan, 450000, China
Research Site 317
Xinxiang, Henan, 453100, China
Research Site 306
Zhengzhou, Henan, 450000, China
Research Site 304
Zhengzhou, Henan, 450052, China
Research Site 321
Wuhan, Hubei, 430000, China
Research Site 311
Wuhan, Hubei, 430030, China
Research Site 309
Changsha, Hunan, 410031, China
Research Site 323
Changsha, Hunan, 410031, China
Research Site 344
Nanjing, Jiangsu, 210008, China
Research Site 305
Nanjing, Jiangsu, 21000, China
Research Site 307
Ganzhou, Jiangxi, 341000, China
Research Site 349
Nanchang, Jiangxi, 330006, China
Research Site 361
Nanchang, Jiangxi, 330029, China
Research Site 328
Changchun, Jilin, 130000, China
Research Site 301
Changchun, Jilin, 130012, China
Research Site 320
Shenyang, Liaoning, 110000, China
Research Site 352
Shenyang, Liaoning, 110042, China
Research Site 363
Nanjing, Nanjing, 210006, China
Research Site 340
Jinan, Shandong, 250013, China
Research Site 308
Jinan, Shandong, 250117, China
Research Site 333
Linyi, Shandong, 276000, China
Research Site 302
Linyi, Shandong, 276034, China
Research Site 335
Shanghai, Shanghai Municipality, 200030, China
Research Site 326
Shanghai, Shanghai Municipality, 200032, China
Research Site 355
Shanghai, Shanghai Municipality, 200120, China
Research Site 332
Xi’an, Shanxi, 710000, China
Research Site 312
Chengdu, Sichuan, 610041, China
Research Site 330
Chengdu, Sichuan, 610041, China
Research Site 366
Chengdu, Sichuan, 610041, China
Research Site 325
Chengdu, Sichuan, 610072, China
Research Site 347
Tianjin, Tianjin Municipality, 300052, China
Research Site 318
Tianjin, Tianjin Municipality, 300060, China
Research site 368
Tianjin, Tianjin Municipality, 300300, China
Research Site 324
Hangzhou, Zhejiang, 310014, China
Research Site 329
Hangzhou, Zhejiang, 310016, China
Research Site 331
Hangzhou, Zhejiang, 310022, China
Research Site 359
Hangzhou, Zhejiang, 310022, China
Research site 369
Hangzhou, Zhejiang, 310022, China
Research Site 303
Taizhou, Zhejiang, 317099, China
Research Site 408
Kaohsiung City, 807377, Taiwan
Research Site 405
Kaohsiung City, 824005, Taiwan
Research Site 406
New Taipei City, 235041, Taiwan
Research Site 401
Taipei, 100225, Taiwan
Research Site 402
Taipei, 100225, Taiwan
Research Site 409
Taipei, 104217, Taiwan
Research Site 403
Taipei, 110301, Taiwan
Research Site 407
Taipei, 112201, Taiwan
Research Site 404
Taoyuan District, 333423, Taiwan
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Lily Hu
DualityBio Inc.
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 13, 2023
First Posted
June 22, 2023
Study Start
August 17, 2023
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
May 1, 2028
Last Updated
November 21, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share