A Clinical Study to Investigate the Efficacy and Safety of an Investigational Combination Therapy With BNT324 and BNT327 in Patients With Advanced Lung Cancer
A Phase Ib/II, Multi-site, Open-label, Two-part Trial to Evaluate the Efficacy, Safety, Pharmacokinetics, and Recommended Combination Dose of BNT324 With BNT327 in Participants With Advanced Lung Cancer
2 other identifiers
interventional
594
10 countries
88
Brief Summary
This study aims to investigate the combination of BNT324, a B7-H3 antibody-drug conjugate (ADC) with BNT327, a programmed death-ligand 1 (PD-L1) and vascular endothelial growth factor (VEGF) bispecific antibody, in participants with advanced/metastatic or relapsed/progressive small cell lung cancer (SCLC) and non small cell lung cancer (NSCLC).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started May 2025
Longer than P75 for phase_1
88 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 19, 2025
CompletedFirst Posted
Study publicly available on registry
March 24, 2025
CompletedStudy Start
First participant enrolled
May 2, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 1, 2032
July 16, 2026
July 1, 2026
3.3 years
March 19, 2025
July 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (7)
Part 1 - Occurrence of dose limiting toxicities (DLTs) by dose level
During the DLT evaluation period, i.e., the time of initiation of the first dose of investigational medicinal product (IMP) up to 21 days]
Part 1 - Occurrence of Treatment-emergent adverse events (TEAEs), serious TEAEs, treatment-related TEAEs, and treatment-related serious TEAEs by dose level
From the time of the first dose of IMP to 90 days after the last IMP dose or until new anticancer therapy is started, whichever occurs first
Part 1 - Occurrence of dose interruption, reduction, and treatment discontinuations due to TEAEs by dose level
From the time of the first dose of IMP to 90 days after the last dose of IMP or until new anticancer therapy is started, whichever occurs first
Part 2 cohorts 1 and 2 - Occurrence of TEAEs, serious TEAEs, treatment-related TEAEs, and treatment-related serious TEAEs by cohort and treatment arm
From the time of the first dose of IMP to 90 days after the last IMP dose or until new anticancer therapy is started, whichever occurs first
Part 2 cohorts 1 and 2 - Occurrence of dose interruption, reduction, and treatment discontinuation due to TEAEs by cohort and treatment arm
From the time of the first dose of IMP to 90 days after the last IMP dose or until new anticancer therapy is started, whichever occurs first
Part 2 cohorts 1 and 2 - Objective response rate (ORR) by cohort and treatment arm
ORR defined as the proportion of participants in whom a confirmed complete response (CR) or partial response (PR) is observed as best overall response (per response evaluation criteria in solid tumors \[RECIST\] version 1.1 based on the investigator's assessment).
From the time of initiation of the first dose of IMP to end of study, i.e., up to 87 months
Part 2 cohorts 3-7 - ORR by cohort
ORR, defined as the proportion of participants in whom a confirmed CR or PR is observed as best overall response (per RECIST version 1.1 based on the investigator's assessment).
From the time of initiation of the first dose of IMP to end of study, i.e., up to 87 months
Secondary Outcomes (9)
Part 1 - ORR by dose level
From the time of initiation of the first dose of IMP to end of study, i.e., up to 87 months
Part 1 - Disease control rate (DCR) by dose level
From the time of initiation of the first dose of IMP to end of study, i.e., up to 87 months
Part 2 all cohorts - (PFS) by cohort and treatment arm
From the time of initiation of the first dose of IMP to end of study, i.e., up to 87 months
Part 2 all cohorts - Duration of response (DOR) by cohort and treatment arm
From the time of initiation of the first dose of IMP to end of study, i.e., up to 87 months
Part 2 all cohorts - Overall survival (OS) by cohort and treatment arm
From the time of initiation of the first dose of IMP to end of study, i.e., up to 87 months
- +4 more secondary outcomes
Study Arms (8)
Part 1 - BNT324 + BNT327 combination therapy
EXPERIMENTALEscalating combination dose levels of BNT324 and BNT327 to define RP2D and RP2D-1 for NSCLC and SCLC.
Part 2 - Cohort 1: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327
EXPERIMENTALIn subpopulation 1 of NSCLC actionable oncogenic alteration (AGA) negative, first-line (1L)
Part 2 - Cohort 2: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327
EXPERIMENTALIn SCLC, second-line plus (2L+)
Part 2 - Cohort 3: RP2D of BNT324 + BNT327
EXPERIMENTALIn subpopulation 1 of NSCLC AGA negative, 2L+
Part 2 - Cohort 4: RP2D of BNT324 + BNT327
EXPERIMENTALIn subpopulation 2 of NSCLC AGA negative, 1L
Part 2 - Cohort 5: RP2D of BNT324 + BNT327
EXPERIMENTALIn subpopulation 2 of NSCLC AGA negative, 2L+
Part 2 - Cohort 6: RP2D of BNT324 + BNT327
EXPERIMENTALIn NSCLC AGA positive
Part 2 - Cohort 7: RP2D of BNT324 + BNT327
EXPERIMENTALIn SCLC, 1L
Interventions
Intravenous infusion
Intravenous infusion
Eligibility Criteria
You may qualify if:
- Aged ≥18 years at the time of giving informed consent.
- Histological or cytological confirmed unresectable advanced/metastatic lung cancer. Histological classification may be based on tumor samples prior to metastatic disease. Participants with mixed histology must be classified based on the main component. Participants with NSCLC are eligible with any or no PD-L1 expression. Participants with AGA-positive disease must have received targeted therapy prior to enrollment in this study.
- Part 1: Participants with NSCLC and SCLC
- Part 2 Cohort 1: Participants with NSCLC (subpopulation 1) AGA negative, 1L
- Part 2 Cohort 2: Participants with SCLC, 2L+
- Part 2 Cohort 3: Participants with NSCLC (subpopulation 1) AGA negative, 2L+
- Part 2 Cohort 4: Participants with NSCLC (subpopulation 2) AGA negative, 1L
- Part 2 Cohort 5: Participants with NSCLC (subpopulation 2) AGA negative, 2L+
- Part 2 Cohort 6: Participants with NSCLC AGA positive
- Part 2 Cohort 7: Participants with SCLC, 1L
- Have measurable disease defined by RECIST version 1.1.
- Have an Eastern Cooperative Oncology Group performance status of 0 or 1.
- Have a life expectancy of ≥12 weeks.
You may not qualify if:
- Prior treatment with B7-H3 targeted therapy.
- Is a candidate to locoregional treatment (including surgical resection, stereotactic radiotherapy or tumor ablation) with potential to induce complete or near complete response and prolonged tumor control (sometimes described as "radical" intent), per investigator's assessment.
- Has a history of significant hematologic toxicity to prior lines of therapy, as assessed by investigator, e.g., Grade 4 febrile neutropenia or recurrent/persistent Grade 3 to 4 neutropenia.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- DualityBio Inc.collaborator
- Biotheus Inc.collaborator
- BioNTech SElead
Study Sites (88)
Mayo Clinic Arizona
Phoenix, Arizona, 13400, United States
Precision NextGen Oncology and Research Center
Beverly Hills, California, 90212, United States
Cedars Sinai Medical Center
Los Angeles, California, 90048, United States
UCLA - David Geffen School of Medicine
Santa Monica, California, 90404, United States
University of Colorado Cancer Center
Aurora, Colorado, 80045, United States
Mayo Clinic in Florida
Jacksonville, Florida, 32224, United States
University of Iowa Hospitals & Clinics PARENT
Iowa City, Iowa, 52242, United States
Mayo Clinic-Rochester
Rochester, Minnesota, 55905, United States
John Theurer Cancer Center at Hackensack UMC
Hackensack, New Jersey, 07601, United States
Memorial Sloan Kettering Cancer Center (MSKCC)
New York, New York, 10021, United States
Icahn School of Medicine at Mount Sinai PRIME
New York, New York, 10029, United States
Cleveland Clinic Taussig Cancer Institute Case Comprehensive Cancer Center
Cleveland, Ohio, 44195, United States
Texas Oncology - DFW
Dallas, Texas, 75246, United States
MD Anderson Cancer Center
Houston, Texas, 77030, United States
Texas Oncology - Northeast
Tyler, Texas, 75702, United States
Virginia Cancer Specialists
Fairfax, Virginia, 22031, United States
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050, Australia
Flinders Medical Centre
Bedford Park, South Australia, 5042, Australia
Bendigo Hospital
Bendigo, Victoria, 3550, Australia
Barwon Health
Geelong, Victoria, 3220, Australia
Sunshine Hospital
Saint Albans, Victoria, 3021, Australia
St John of God Subiaco Hospital
Subiaco, Western Australia, 6008, Australia
Anhui Provincial Cancer Hospital
Hefei, Anhui, 230088, China
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142, China
Beijing GoBroad Hospital
Beijing, Beijing Municipality, 102200, China
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001, China
Fujian Cancer Hospital
Fuzhou, Fujian, 350014, China
Guangxi Medical University Cancer Hospital
Nanning, Guangxi Zhuang, 530021, China
The First Affiliated Hospital of Xinxiang Medical University
Weihui, Henan, 453100, China
Henan Provincial Cancer Hospital
Zhengzhou, Henan, 450003, China
Jingzhou First People's Hospital
Jingzhou, Hubei, 434000, China
Xiangyang Central Hospital
Xiangyang, Hubei, 441021, China
Yichang Central People's Hospital
Yichang, Hubei, 443000, China
Hunan Province People's Hospital
Changsha, Hunan, 410005, China
Nanjing Chest Hospital
Nanjing, Jiangsu, 210029, China
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006, China
Jiangxi Cancer Hospital
Nanchang, Jiangxi, 330209, China
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330209, China
Jilin Cancer Hospital
Changchun, Jilin, 130000, China
Linyi Cancer Hospital
Shandong, Linyi, 276001, China
The First Affiliated Hospital of Xian Jiaotong University
Xi'an, Shaanxi, 710061, China
Jinan Central Hospital
Jinan, Shandong, 250013, China
Shandong Cancer Hospital
Jinan, Shandong, 250117, China
Shanghai GoBroad Cancer Hospital
Shanghai, Shanghai Municipality, 200125, China
West China Hospital, Sichuan University
Chengdu, Sichuan, 611100, China
First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310003, China
Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine
Hangzhou, Zhejiang, 310016, China
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022, China
The First Affiliated Hospital of Xiamen University
Fujian, 361003, China
Affiliated Cancer Hospital and Institute of Guangzhou Medical University
Guandong, 510095, China
Xuzhou Central Hospital
Xuzhou, 221018, China
Centre Hospitalier Intercommunal de Créteil
Créteil, 94000, France
Assistance Publique-Hôpitaux de Marseille
Marseille, 13005, France
Hôpital Foch
Suresnes, 92151, France
Hopital Larrey
Toulouse, 31059, France
IRCCS Istituto di Candiolo
Candiolo, 10060, Italy
IRCCS Ospedale San Raffaele
Milan, 20132, Italy
Istituto Nazionale Tumori Regina Elena IRCCS
Roma, 00144, Italy
Azienda Ospedaliera Universitaria Integrata Verona (Ospedale Borgo Roma)
Verona, 37134, Italy
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-214, Poland
Pratia Onkologia Katowice
Katowice, 40-519, Poland
Centrum Medyczne Pratia Poznań
Poznan, 60-192, Poland
Hospital Universitari Dexeus
Barcelona, 08028, Spain
Clinica Universidad de Navarra
Barcelona, 08036, Spain
Hospital Universitari Vall d'Hebron
Barcelona, 08740, Spain
Hospital Universitario Reina Sofia
Córdoba, 14004, Spain
Hospital Quironsalud Malaga
Málaga, 29004, Spain
Hospital Universitario Nuestra Señora de Valme
Seville, 41014, Spain
Hospital Universitario de Torrejón
Torrejón de Ardoz, 28850, Spain
Hospital Universitari i Politecnic La Fe
Valencia, 46026, Spain
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807, Taiwan
Taichung Veterans General Hospital
Taichung, 40705, Taiwan
National Cheng Kung University Hospital
Tainan, 704, Taiwan
National Taiwan University Cancer Center
Taipei, 106, Taiwan
Taipei Veterans General Hospital
Taipei, 11217, Taiwan
Adana City Hospital
Adana, 01230, Turkey (Türkiye)
Hacettepe University Medical Faculty
Ankara, 06100, Turkey (Türkiye)
Dr. Abdurrahman Yurtaslan Oncology Teaching and Research Hospital
Ankara, 06105, Turkey (Türkiye)
Ankara City Hospital
Ankara, 06800, Turkey (Türkiye)
Yeditepe University Medical School Hospital
Istanbul, 31755, Turkey (Türkiye)
Koc University Hospital
Istanbul, 34010, Turkey (Türkiye)
Sakarya Training and Research Hospital
Sakarya, 54187, Turkey (Türkiye)
Bristol Haematology and Oncology Centre
Bristol, BS2 8ED, United Kingdom
St. James's University Hospital
Leeds, LS97TF, United Kingdom
The Clatterbridge Cancer Center
Liverpool, L7 8YA, United Kingdom
St George's Hospitals NHS Foundation Trust
London, SW170QT, United Kingdom
University College London Hospital
London, W1T 7HA, United Kingdom
The Christie NHS Foundation Trust
Manchester, M204BX, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
BioNTech Responsible Person
BioNTech SE
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 19, 2025
First Posted
March 24, 2025
Study Start
May 2, 2025
Primary Completion (Estimated)
September 1, 2028
Study Completion (Estimated)
May 1, 2032
Last Updated
July 16, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share