NCT06892548

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

83
On Track

Trial Health Score

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

Enrollment
594

participants targeted

Target at P75+ for phase_1

Timeline
62mo left

Started May 2025

Longer than P75 for phase_1

Geographic Reach
6 countries

58 active sites

Status
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 Progress17%
May 2025Jun 2031

First Submitted

Initial submission to the registry

March 19, 2025

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 24, 2025

Completed
1 month until next milestone

Study Start

First participant enrolled

May 2, 2025

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2027

Expected
3.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2031

Last Updated

April 15, 2026

Status Verified

April 1, 2026

Enrollment Period

2.2 years

First QC Date

March 19, 2025

Last Update Submit

April 14, 2026

Conditions

Keywords

Small cell lung cancer (SCLC)Non-small cell lung cancer (NSCLC)Programmed death-ligand 1 (PD-L1)Vascular endothelial growth factor (VEGF)Bispecific antibodyBNT324 (DB-1311)BNT327Combination with chemotherapyCombination with other investigational agentsImmunotherapyTreatment-naïve

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

EXPERIMENTAL

Escalating combination dose levels of BNT324 and BNT327 to define RP2D and RP2D-1 for NSCLC and SCLC.

Biological: BNT324Biological: BNT327

Part 2 - Cohort 1: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327

EXPERIMENTAL

In subpopulation 1 of NSCLC actionable oncogenic alteration (AGA) negative, first-line (1L)

Biological: BNT324Biological: BNT327

Part 2 - Cohort 2: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327

EXPERIMENTAL

In SCLC, second-line plus (2L+)

Biological: BNT324Biological: BNT327

Part 2 - Cohort 3: RP2D of BNT324 + BNT327

EXPERIMENTAL

In subpopulation 1 of NSCLC AGA negative, 2L+

Biological: BNT324Biological: BNT327

Part 2 - Cohort 4: RP2D of BNT324 + BNT327

EXPERIMENTAL

In subpopulation 2 of NSCLC AGA negative, 1L

Biological: BNT324Biological: BNT327

Part 2 - Cohort 5: RP2D of BNT324 + BNT327

EXPERIMENTAL

In subpopulation 2 of NSCLC AGA negative, 2L+

Biological: BNT324Biological: BNT327

Part 2 - Cohort 6: RP2D of BNT324 + BNT327

EXPERIMENTAL

In NSCLC AGA positive

Biological: BNT324Biological: BNT327

Part 2 - Cohort 7: RP2D of BNT324 + BNT327

EXPERIMENTAL

In SCLC, 1L

Biological: BNT324Biological: BNT327

Interventions

BNT324BIOLOGICAL

Intravenous infusion

Also known as: DB-1311
Part 1 - BNT324 + BNT327 combination therapyPart 2 - Cohort 1: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327Part 2 - Cohort 2: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327Part 2 - Cohort 3: RP2D of BNT324 + BNT327Part 2 - Cohort 4: RP2D of BNT324 + BNT327Part 2 - Cohort 5: RP2D of BNT324 + BNT327Part 2 - Cohort 6: RP2D of BNT324 + BNT327Part 2 - Cohort 7: RP2D of BNT324 + BNT327
BNT327BIOLOGICAL

Intravenous infusion

Part 1 - BNT324 + BNT327 combination therapyPart 2 - Cohort 1: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327Part 2 - Cohort 2: RP2D of BNT324 + BNT327 and RP2D-1 of BNT324 + BNT327Part 2 - Cohort 3: RP2D of BNT324 + BNT327Part 2 - Cohort 4: RP2D of BNT324 + BNT327Part 2 - Cohort 5: RP2D of BNT324 + BNT327Part 2 - Cohort 6: RP2D of BNT324 + BNT327Part 2 - Cohort 7: RP2D of BNT324 + BNT327

Eligibility Criteria

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

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

Study Sites (58)

Mayo Clinic Arizona

Phoenix, Arizona, 13400, United States

RECRUITING

Precision NextGen Oncology and Research Center

Beverly Hills, California, 90212, United States

RECRUITING

Cedars Sinai Medical Center

Los Angeles, California, 90048, United States

RECRUITING

UCLA - David Geffen School of Medicine

Santa Monica, California, 90404, United States

RECRUITING

Mayo Clinic in Florida

Jacksonville, Florida, 32224, United States

RECRUITING

University of Iowa Hospitals & Clinics PARENT

Iowa City, Iowa, 52242, United States

RECRUITING

Mayo Clinic-Rochester

Rochester, Minnesota, 55905, United States

RECRUITING

John Theurer Cancer Center at Hackensack UMC

Hackensack, New Jersey, 07601, United States

RECRUITING

Memorial Sloan Kettering Cancer Center (MSKCC)

New York, New York, 10021, United States

RECRUITING

Icahn School of Medicine at Mount Sinai PRIME

New York, New York, 10029, United States

RECRUITING

Cleveland Clinic Taussig Cancer Institute Case Comprehensive Cancer Center

Cleveland, Ohio, 44195, United States

RECRUITING

Texas Oncology - DFW

Dallas, Texas, 75246, United States

RECRUITING

MD Anderson Cancer Center

Houston, Texas, 77030, United States

RECRUITING

Texas Oncology - Northeast

Tyler, Texas, 75702, United States

RECRUITING

Virginia Cancer Specialists

Fairfax, Virginia, 22031, United States

RECRUITING

Chris O'Brien Lifehouse

Camperdown, New South Wales, 2050, Australia

RECRUITING

Bendigo Hospital

Bendigo, Victoria, 3550, Australia

RECRUITING

Barwon Health

Geelong, Victoria, 3220, Australia

RECRUITING

Sunshine Hospital

Saint Albans, Victoria, 3021, Australia

RECRUITING

St John of God Subiaco Hospital

Subiaco, Western Australia, 6008, Australia

RECRUITING

Beijing Cancer Hospital

Beijing, Beijing Municipality, 100142, China

RECRUITING

Beijing GoBroad Hospital

Beijing, Beijing Municipality, 102200, China

RECRUITING

Fujian Medical University Union Hospital

Fuzhou, Fujian, 350001, China

RECRUITING

Guangxi Medical University Cancer Hospital

Nanning, Guangxi Zhuang, 530021, China

RECRUITING

The First Affiliated Hospital of Xinxiang Medical University

Weihui, Henan, 453100, China

RECRUITING

Henan Provincial Cancer Hospital

Zhengzhou, Henan, 450003, China

RECRUITING

Jingzhou First People's Hospital

Jingzhou, Hubei, 434000, China

RECRUITING

Xiangyang Central Hospital

Xiangyang, Hubei, 441021, China

RECRUITING

Yichang Central People's Hospital

Yichang, Hubei, 443000, China

RECRUITING

Nanjing Chest Hospital

Nanjing, Jiangsu, 210029, China

RECRUITING

The Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, 330006, China

RECRUITING

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, 330209, China

RECRUITING

Jilin Cancer Hospital

Changchun, Jilin, 130000, China

RECRUITING

Linyi Cancer Hospital

Shandong, Linyi, 276001, China

RECRUITING

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, Shaanxi, 710061, China

RECRUITING

Jinan Central Hospital

Jinan, Shandong, 250013, China

RECRUITING

Shandong Cancer Hospital

Jinan, Shandong, 250117, China

RECRUITING

Shanghai GoBroad Cancer Hospital

Shanghai, Shanghai Municipality, 200125, China

RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, 611100, China

RECRUITING

First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, 310003, China

RECRUITING

Sir Run Run Shaw Hospital, Zhejiang University, School of Medicine

Hangzhou, Zhejiang, 310016, China

RECRUITING

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, 310022, China

RECRUITING

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, 807, Taiwan

RECRUITING

Taichung Veterans General Hospital

Taichung, 40705, Taiwan

RECRUITING

National Cheng Kung University Hospital

Tainan, 704, Taiwan

RECRUITING

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

RECRUITING

Adana City Hospital

Adana, 01230, Turkey (Türkiye)

RECRUITING

Hacettepe University Medical Faculty

Ankara, 06100, Turkey (Türkiye)

RECRUITING

Dr. Abdurrahman Yurtaslan Oncology Teaching and Research Hospital

Ankara, 06105, Turkey (Türkiye)

RECRUITING

Ankara City Hospital

Ankara, 06800, Turkey (Türkiye)

RECRUITING

Yeditepe University Medical School Hospital

Istanbul, 31755, Turkey (Türkiye)

RECRUITING

Koc University Hospital

Istanbul, 34010, Turkey (Türkiye)

RECRUITING

Sakarya Training and Research Hospital

Sakarya, 54187, Turkey (Türkiye)

RECRUITING

Bristol Haematology and Oncology Centre

Bristol, BS2 8ED, United Kingdom

RECRUITING

St. James's University Hospital

Leeds, LS97TF, United Kingdom

RECRUITING

St George's Hospitals NHS Foundation Trust

London, SW170QT, United Kingdom

RECRUITING

University College London Hospital

London, W1T 7HA, United Kingdom

RECRUITING

The Christie NHS Foundation Trust

Manchester, M204BX, United Kingdom

RECRUITING

MeSH Terms

Conditions

Small Cell Lung CarcinomaCarcinoma, Non-Small-Cell Lung

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract Diseases

Study Officials

  • BioNTech Responsible Person

    BioNTech SE

    STUDY DIRECTOR

Central Study Contacts

BioNTech clinical trials patient information

CONTACT

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)

August 1, 2027

Study Completion (Estimated)

June 1, 2031

Last Updated

April 15, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will not share

Locations