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| ID | Type | Description | Link |
|---|---|---|---|
| 2025-521768-36-00 | EU Trial (CTIS) Number | ||
| IRAS ID: 1012259 | Other Identifier | Integrated Research Application System | |
| CTN: 2025-2539 | Other Identifier | Clinical Trial Number |
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| Name | Class |
|---|---|
| Genmab | INDUSTRY |
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This randomized, multi-site, three-part study will test a new treatment called BNT314, which is designed to help the body's own defense to fight cancer in combination with another new treatment (pumitamig, which is a cancer immunotherapy drug also known as BNT327 and PM8002) and chemotherapy in participants with metastatic colorectal cancer (mCRC).
Participants with microsatellite stable or mismatch repair proficient (MSS/pMMR) mCRC with progressive disease to the metastatic first line (1L) setting (Parts B and C) and beyond (Part A) as well as treatment-naïve (for Part B) are eligible to participate in the study.
The main study goals are as follows:
In all three parts, the study will also look whether BNT314 can shrink tumors or slow down their growth when used with pumitamig and chemotherapy.
The study consists of a period to assess eligibility, a treatment period, a safety follow-up period, and a long-term survival follow-up period.
The sponsor plans to proactively assess participant safety on a regular basis for the duration of the study according to a predefined internal review committee. In addition, an independent data monitoring committee will be developed to provide medical oversight over Part C of the study.
Participants in the study will continue to receive treatment until their disease worsens, they can no longer tolerate the treatment, the participant chooses to leave the study, or the study ends. They are expected to be on treatment for about of 6-10 months on average. Participants may stop treatment early if their disease worsens or side effects occur but can continue longer if the disease stays controlled and the therapy is well-tolerated. After that, they will be monitored for their survival and any potential long-term side effects even after they stop participating in the study. Participants will be randomized to the treatment groups in Part B and Part C, which means participants will be assigned by equal chance to a treatment group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1 (Part A): BNT314 (escalating dose levels) + pumitamig | Experimental | Up to 5 dose levels of BNT314. One or two dose levels of pumitamig. |
|
| Phase 1 (Part B): BNT314 + pumitamig + SoC chemotherapy 1 | Experimental | BNT314 (optimized dose level 1 or 2 as determined based on data from Part A) + pumitamig + SoC combination chemotherapy 1. One selected dose level of pumitamig. |
|
| Phase 1 (Part B): BNT314 + pumitamig + SoC chemotherapy 2 | Experimental | BNT314 (optimized dose level 1 or 2 as determined based on data from Part A) + pumitamig + SoC combination chemotherapy 2. One selected dose level of pumitamig. |
|
| Phase 2 (Part C): BNT314 + pumitamig + SoC chemotherapy 1 | Experimental | Recommended phase 2 dose of BNT314 + pumitamig + SoC combination chemotherapy 1. One selected dose level of pumitamig. |
|
| Phase 2 (Part C): Bevacizumab + SoC chemotherapy 1 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BNT314 | Biological | Intravenous (IV) infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase I - Part A: Occurrence of dose limiting toxicities (DLTs) during the DLT observation period | Up to 28 days after Day 1, Cycle 1 | |
| Phase I - Part A: Occurrence of treatment emergent adverse events (TEAEs) and treatment related adverse events (TRAEs) | Assessed according to Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0) including Grade ≥3, serious, fatal TEAEs by relationship. | From initiation of the first dose of BNT314 + pumitamig until 90 days after last dose of investigational medicinal product (IMP) |
| Phase I - Part A: Occurrence of dose interruption or discontinuation of study treatment due to TEAEs | From initiation of the first dose of BNT314 + pumitamig until 90 days after last dose of IMP | |
| Phase I - Part B: Occurrence DLTs during the DLT observation period for the first five participants in each dose cohort | Up to 42 days after Day 1, Cycle 1 | |
| Phase I - Part B: Occurrence of TEAEs and TRAEs | Assessed according to CTCAE v5.0 including Grade ≥3, serious, fatal TEAEs by relationship. | From initiation of the first dose of BNT314 + pumitamig + SoC chemotherapy until 90 days after last dose of IMP |
| Phase I - Part B: Occurrence of dose interruption or discontinuation of study treatment due to TEAEs | From initiation of the first dose of BNT314 + pumitamig + SoC chemotherapy until 90 days after last dose of IMP | |
| Phase I - Part B: Objective response rate (ORR) | Defined as the percentage of participants in whom a complete response (CR) or confirmed partial response (PR) (assessed by the blinded independent central review [BICR] per Response Evaluation Criteria in Solid Tumors version 1.1 [RECIST v1.1]) is observed as best overall response. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase II - Part C: ORR | Defined as the percentage of participants in whom a confirmed CR or PR (assessed by BICR per RECIST v1.1) is observed as best overall response. | From the time of initiation of the first dose of IMP to end of study, up to 57 months |
| Phase I - Part A: ORR |
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Key Inclusion Criteria:
Inclusion criteria applicable to only protocol-specific cohorts:
Other cohort-specific inclusion criteria apply.
Key Exclusion Criteria:
Confirmed MSI-H/deficient mismatch repair mCRC (per FDA/CE approved test or based on local testing).
Prior treatment with epithelial cell-adhesion molecule or 4-1BB targeted or immunotherapy.
Prior treatment with immune checkpoint inhibitors or programmed death-ligand 1 (PD[L]-1)/vascular endothelial growth factor bispecific antibody.
Is a candidate to locoregional treatment (including surgical resection, stereotactic radiation therapy 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.
Have uncontrolled or significant cardiovascular disease as specified in the protocol.
Have left ventricular ejection fraction <50% by echocardiogram or multigated acquisition within 28 days before randomization/enrollment.
Have clinically uncontrolled pleural effusion, ascites or pericardial effusion requiring drainage, peritoneal shunt, or cell-free concentrated ascites reinfusion therapy within 2 weeks prior to randomization/enrollment.
Have clinically active central nervous system metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms. Participants with treated brain metastases that are no longer symptomatic and who require no treatment with corticosteroids or anticonvulsants may be included in the study if they have recovered from the acute toxic effect of radiotherapy. Participants with untreated, asymptomatic brain metastases for whom local therapy is not indicated per SoC may be eligible if neurologically stable and (if deemed necessary by the investigator). Except for brain metastases history, any participants at imminent risk for spinal cord compression or leptomeningeal disease are not eligible.
Have unresolved toxicities from previous anticancer therapy, defined as toxicities (other than alopecia) not yet resolved to Grade ≤1 or baseline toxicities that have resolved with sequelae (e.g., tracheostomy, chronic use of feeding tube, replacement hormones) are allowed, if not associated with increased risk of complications per investigator's assessment.
Participants in Part B or C who fulfill one of the conditions:
Have a history of another primary malignancy within 2 years, except adequately resected non-melanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated (adjuvant hormone therapy for malignancies at low risk of relapse is allowed) or have a known additional malignancy that is progressing or requires treatment.
Have a history of small bowel obstruction requiring hospitalization within the past 3 months prior to the first dose of IMP.
Have 24-h urine protein excretion ≥1 g. If qualitative urine protein is ≤1+, a 24-h urine protein quantitative test is not required.
Have active autoimmune disease or a history of autoimmune disease (myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, psoriatic arthritis, inflammatory bowel disease, vasculitis, antiphospholipid antibody syndrome, Wegener granulomatosis, Sjögren's syndrome, Guillain-Barré syndrome, or multiple sclerosis) with a risk of exacerbation following PD-L1 inhibition or have an immune deficiency (allogeneic hematopoietic stem cell transplantation or organ transplantation). Participants with protocol-specified conditions may be eligible.
Have serious non-healing wounds, ulcers, or bone fractures. This includes history of abdominal fistula, gastrointestinal perforation, or intra abdominal abscess or esophageal and gastric varices, acute gastrointestinal bleeding for which an interval of 6 months must pass before enrollment into this study. In addition, the participant must have undergone correction (or spontaneous healing) of the perforation/fistula and/or the underlying process causing the fistula/perforation.
Have evidence of major coagulation disorders or other significant risks of hemorrhage as specified in the protocol.
NOTE: Other protocol defined Inclusion/Exclusion criteria apply.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| BioNTech clinical trials patient information | Contact | +49 6131 9084 | 0 | patients@biontech.de |
| Name | Affiliation | Role |
|---|---|---|
| BioNTech Responsible Person | BioNTech SE | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yale University | Recruiting | New Haven | Connecticut | 06511 | United States | |
| START Midwest |
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Part A and Part B of this study are open label. Only in Part C, the majority of sponsor personnel will be blinded to study treatment allocation.
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Combination of two different SoC therapies |
|
| Phase 2 (Part C): Pumitamig + SoC chemotherapy 1 | Experimental | Pumitamig + SoC combination chemotherapy 1. One selected dose level of pumitamig. |
|
| Pumitamig | Drug | IV infusion |
|
|
| SoC chemotherapy treatment 1 | Drug | IV infusion / IV bolus |
|
| SoC chemotherapy treatment 2 | Drug | IV infusion / IV bolus / oral |
|
| Bevacizumab | Drug | IV infusion |
|
| From the time of initiation of the first dose of IMP to end of study, up to 57 months |
| Phase II - Part C: Progression free survival | Defined as the time from randomization to first documented tumor progression (progressive disease assessed by BICR per RECIST v1.1), or death from any cause, whichever occurs first. | From the time of initiation of the first dose of IMP to end of study, up to 57 months |
Defined as the percentage of participants in whom a confirmed CR or PR (assessed by BICR per RECIST v1.1) is observed as best overall response. |
| From the time of initiation of the first dose of IMP to end of study, up to 57 months |
| All parts: Duration of response | Defined as the time from first objective response (CR or PR assessed by BICR per RECIST v1.1) to first occurrence of objective tumor progression (progressive disease assessed by BICR per RECIST v1.1) or death from any cause, whichever occurs first. | From the time of initiation of the first dose of IMP to end of study, up to 57 months |
| Phase I - Part A and Part B: Disease control rate | Defined as the percentage of participants with confirmed CR or PR or stable disease (per RECIST v1.1, assessed at least 6 weeks after the first IMP dose) observed as best ORR per BICR. | From the time of initiation of the first dose of IMP to end of study, up to 57 months |
| Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter maximum concentration of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter time taken to reach maximum concentration of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter half life of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part A: Geometric mean of pharmacokinetic parameter volume of distribution of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part A: Geometric mean of pharmacokinetic parameter area under the curve of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter clearance of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part B: Geometric mean of pharmacokinetic parameter steady state volume of distribution of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part B: Geometric mean of pharmacokinetic parameter total drug exposure across time of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part B: Geometric mean of pharmacokinetic parameter area under the concentration-time curve from pre-dose to last quantifiable time point prior to the next dose of BNT314 and pumitamig in serum. | Per dose level. If data permits. | From predose to 42 days after first dose of IMP |
| Phase I - Part A and Part B: ADA prevalence | Percentage of participants who are ADA positive (either baseline or post-baseline). By dose level. If data permits. | Up to 90 days post last dose of IMP |
| Phase I - Part A and Part B: Anti-drug antibody (ADA) incidence | Percentage of participants having treatment-emergent ADA. By dose level. If data permits. | Up to 90 days post last dose of IMP |
| Phase II - Part C: Overall survival | Defined as the time from randomization to death from any cause | From the time of initiation of the first dose of IMP to end of study, up to 57 months |
| Phase II - Part C: Occurrence of TEAEs and TRAEs | Assessed according to CTCAE v5.0 including Grade ≥3, serious, fatal TEAEs by relationship | From initiation of the first dose of BNT314 + pumitamig until 90 days after last dose of IMP |
| Phase II - Part C: Occurrence of dose interruption or discontinuation of study treatment due to TEAEs | From initiation of the first dose of BNT314 + pumitamig until 90 days after last dose of IMP |
| Recruiting |
| Grand Rapids |
| Michigan |
| 49546 |
| United States |
| Cleveland Clinic Taussig Cancer Institute Case Comprehensive Cancer Center | Recruiting | Cleveland | Ohio | 44195 | United States |
| The University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| Hämatologisch-Onkologische Praxis Eppendorf - HOPE | Recruiting | Hamburg | 20249 | Germany |
| Asklepios Tumorzentrum Hamburg | Recruiting | Hamburg | 22763 | Germany |
| National Cancer Center Hospital | Recruiting | Chūōku | 104-0045 | Japan |
| National Cancer Center Hospital East | Recruiting | Kashiwa | 277-8577 | Japan |
| Hospital HM Nou Delfos | Recruiting | Barcelona | 08023 | Spain |
| Vall D'Hebrón Hospital | Recruiting | Barcelona | 08035 | Spain |
| Centro Integral Oncologico Clara Campal | Recruiting | Madrid | 28050 | Spain |
| Guy's & St Thomas' NHS Foundation Trust, Guy's Hospital | Recruiting | London | SE19RT | United Kingdom |
| Christie NHS Foundation | Recruiting | Manchester | M20 4BX | United Kingdom |
| The Royal Marsden NHS | Recruiting | Sutton | SM2 5PT | United Kingdom |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
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| ID | Term |
|---|---|
| D000068258 | Bevacizumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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