> Trialight public data. Index of pages: https://trialight.com/llms.txt > Web page: https://trialight.com/data/trial/a-clinical-trial-to-test-if-an-investigational-combination-0ad51095-c0ed-4a72-8638-632f5439c331 > Record changed: 2026-11-04 # A Clinical Trial to Test if an Investigational Combination Therapy With BNT326 and BNT327 is Safe and Potentially Beneficial for People With Advanced Non-small Cell Lung Cancer (NSCLC) NCT07111520 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) Phase Phase 1/Phase 2 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) Recruitment status Recruiting Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) Participants 880 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) Lead sponsor BioNTech SE Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) Start date 2025-09-22 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) Number of sites 86 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Title and summary **Summary** This is a multi-site, open-label, dose-finding study, consisting of Parts 1, 2a, and 2b to investigate the combination of BNT326 with pumitamig (also known as BNT327 or PM8002) in participants with relapsed, progressive as well as treatment-naïve, advanced/metastatic non-small cell lung cancer (NSCLC). This study will enroll adult participants with histologically or cytologically confirmed NSCLC that is advanced (i.e., either metastatic or recurrent tumors with no known curative treatment available). The main goals of this study are: 1\. To find the best dose levels (DLs) for the combination of BNT326 and pumitamig. 2\. To look at how well participants with advanced NSCLC tolerate the combination therapy (for example, which side effects participants experience and how severe they are). 3\. To look at how well the combination therapy works to shrink the tumor in participants with advanced NSCLC. Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Short title** A Clinical Trial to Test if an Investigational Combination Therapy With BNT326 and BNT327 is Safe and Potentially Beneficial for People With Advanced Non-small Cell Lung Cancer (NSCLC) Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Official title** A Phase Ib/II, Multi-site, Open-label, Dose Finding Trial to Evaluate the Safety, Efficacy, and Pharmacokinetics of BNT326 in Combination With BNT327 in Participants With Advanced Non-small Cell Lung Cancer (NSCLC) Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Status and phase **Control arm** Open label Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Registry reports results** No Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Listing at source** Listed Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Recruitment status** Recruiting Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Phase** Phase 1/Phase 2 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Study type** Interventional Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Dates **Completion date** 2030-06-01 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **First posted** 2025-08-08 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Registry last updated** 2026-10-22 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Primary completion date** 2028-11-01 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Start date** 2025-09-22 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Size and sites **Participants** 880 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Participant count basis** Estimated Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Planned participants** 880 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Protocol amendments** 2 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Number of sites** 86 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Sponsor and oversight **Data monitoring committee** No Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Registry sponsor category** Industry Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Lead sponsor** BioNTech SE Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Source registry** ClinicalTrials.gov Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Identifiers **Registry ID** NCT07111520 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **ClinicalTrials.gov ID** NCT07111520 Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) **Registry record** Open registry record Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Study design **Allocation** Randomised **Model** Sequential **Purpose** Treatment **Masking** No masking Sources for study design Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Outcomes ### Primary outcomes 1. Part 1 - Occurrence of dose limiting toxicities (DLTs) within a participant Timeframe: 21 days starting on Day 1 of Cycle 1 During the DLT evaluation period by dose level 2. Part 1 and Part 2a - Occurrence of treatment emergent adverse events (TEAEs), treatment-related adverse events (TRAE), treatment emergent serious adverse events (TESAE), treatment-related serious adverse events (TRSAE) Timeframe: from the first dose of investigational medicinal product (IMP) up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months) 3. Part 1 and Part 2a - Occurrence of dose interruption, reduction, and discontinuation due to TEAEs Timeframe: from the first dose of IMP up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months) 4. Part 2a and Part 2b - Objective response rate (ORR) Timeframe: from the time of initiation of the first dose of IMP to approximately 36 months Defined as the percentage of participants in whom a confirmed complete response (CR) or partial response (PR) (per Response Evaluation Criteria in Solid Tumors version 1.1 \\\[RECIST v1.1\\\] based on the investigator's assessment) is observed as best overall response. ### Secondary outcomes 1. Part 1 - ORR Timeframe: from the time of initiation of the first dose of IMP to approximately 36 months Defined as the percentage of participants in whom a confirmed CR or PR (per RECIST v1.1 based on the investigator's assessment) is observed as best overall response. 2. Part 2b - Occurrence of TEAEs, TRAEs, TESAEs, TRSAEs Timeframe: from the first dose of IMP up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months) 3. Part 2b - Occurrence of dose interruption, reduction, and discontinuation due to TEAEs Timeframe: from the first dose of IMP up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months) 4. Part 2a and Part 2b - Progression free survival based on the investigator's assessment Timeframe: from the first dose of IMP to approximately 36 months Defined as the time from first dose of IMP to the first objective tumor progression (progressive disease \\\[PD\\\] per RECIST v1.1) or death from any cause, whichever occurs first. 5. Part 2a and Part 2b - Disease control rate Timeframe: from the first dose of IMP to approximately 36 months Defined as the proportion of participants with CR, PR, or stable disease (per RECIST v1.1 based on the investigator's assessment) as best overall response. 6. Part 2a and Part 2b - Duration of response Timeframe: from the first dose of IMP to approximately 36 months Defined as the time from first confirmed objective response (CR or PR per RECIST v1.1 based on the investigator's assessment) to first occurrence of objective tumor progression (PD per RECIST v1.1 based on the investigator's assessment) or death from any cause, whichever occurs first 7. Part 2a and Part 2b - Time to response Timeframe: from the first dose of IMP to approximately 36 months Defined as the time from first dose of IMP to first confirmed objective response (CR or PR per RECIST v1.1 based on the investigator's assessment) in participants with a confirmed objective response 8. Part 2a and Part 2b - Overall survival Timeframe: from the first dose of IMP to approximately 36 months Defined as the time from first dose of IMP to death from any cause 9. All cohorts - Pharmacokinetics (PK) assessment: Maximum concentration derived from serum concentrations of BNT326 antibody-drug conjugate (ADC), total anti-human epidermal growth factor receptor 3 (HER3) antibody component, and unconjugated payload Timeframe: from the first IMP up to safety follow-up, approximately 90 days post last IMP dose For applicable participants, if data permits. 10. All cohorts - PK assessment: Time to reach maximum (peak) serum concentration derived from serum concentrations of BNT326 ADC, total anti-HER3 antibody component, and unconjugated payload Timeframe: from the first dose of IMP up to safety follow-up, approximately 90 days post last IMP dose For applicable participants, if data permits. 11. All cohorts - Anti-drug antibody (ADA) prevalence and ADA incidence Timeframe: up to 1 year from the last dose of IMP By cohort and combination treatment regimen for applicable participants Sources for outcomes Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Eligibility **Sex** All **Age groups** Adults, Older adults **Minimum age** 18 Years **Healthy volunteers** No Key Inclusion Criteria (applicable to all participants and all parts unless otherwise specified): - Aged ≥18 years at the time of giving informed consent. Local laws will be followed if the age of consent is older. - Have measurable disease defined by RECIST v1.1. - Have Eastern Cooperative Oncology Group performance status of 0 or 1. - Have adequate organ and bone marrow function within 7 days before randomization/enrollment as defined in the protocol. - Have advanced (i.e., metastatic or locally recurrent where local therapy with curative intent is not possible) non-squamous or squamous NSCLC. Cohort-specific inclusion criteria Part 1, 2L+, squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1 (NOTE: regimens used as neoadjuvant and/or adjuvant treatment may be considered as prior lines for advanced disease if relapse occurred within 6 months of the last dose.) - for AGA-negative NSCLC only: - Have no actionable genomic alterations, such as EGFR mutations, anaplastic lymphoma kinase (ALK) gene rearrangements, or other genomic alterations for which targeted molecular therapies are available. - Have experienced relapse or progression during or after treatment with standard systemic therapy in the advanced/metastatic setting or discontinued from prior therapy due to intolerance. - Participants must have received 1 to 3 lines of systemic treatment in the metastatic setting, which can include anti-PD-1/PD-L1 therapy, chemotherapy, and anti-angiogenic agents. These treatments may be administered concurrently or sequentially. However, prior chemotherapy treatment must be limited to 2 lines or less. - for AGA-positive NSCLC only (excluding EGFR activating mutation): - Have documented positive test results for one or more actionable genomic alteration: EGFR (other than activating mutations), ALK, ROS proto-oncogene 1 (ROS1), gene encoding the hepatocyte growth factor receptor (MET), human gene that encodes a protein called B-Raf (BRAF), rearranged during transfection (RET), neurotrophic tropomyosin-receptor kinase (NTRK), human epidermal growth factor receptor 2 (HER2), Kirsten rat sarcoma virus (KRAS), or other genomic alteration with available targeted therapy. - Must have received at least one prior systemic therapy for advanced disease, which must have included targeted treatment for actionable genomic alterations, which include alterations such as EGFR (other than activating mutations), ALK, ROS1, MET, BRAF, RET, NTRK, HER2, KRAS, or other alterations for which targeted therapies are available as a part of local SoC. - Participants may have received between 1 to 3 lines of systemic treatment of anti-PD-1/PD-L1 therapy, chemotherapy, and/or anti-angiogenic agents. These treatments may be administered concurrently (including with tyrosine kinase inhibitor \[TKI\]) or sequentially. However, chemotherapy treatment must be limited to 2 lines or less. - Have experienced progression during or after treatment or discontinued from prior therapy due to intolerance. - for AGA-positive NSCLC only (with EGFR activating mutation): - Have documented positive test results for an EGFR-sensitizing mutation (EGFR-sensitizing mutation Exon 21-L858R and 19del). - Participants must have received one or two prior lines of systemic therapy for advanced and/or metastatic disease, which must include treatment with an approved EGFR TKI, with at least one being a third-generation EGFR TKI. - Participants receiving an EGFR TKI at the time of signing informed consent may continue to take the EGFR TKI until 5 days prior to Cycle 1 Day 1. - Chemotherapy is permitted only if it was administered in combination with an EGFR TKI as part of a single line of therapy and as the initial (first line) treatment for advanced/metastatic disease. - Have experienced progression during or after treatment or discontinued from prior therapy due to intolerance. Part 2a (Cohort A), 2L+, squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1 (NOTE: regimens used as neoadjuvant and/or adjuvant treatment may be considered as prior lines for advanced disease if relapse occurred within 6 months of the last dose.) - for AGA-positive NSCLC only, excluding EGFR activating mutation: - Have documented positive test results for one or more actionable genomic alterations: EGFR (other than activating mutations), ALK, ROS1, MET, BRAF, RET, NTRK, HER2, KRAS, or other genomic alterations, with available targeted therapy. - May have received 1 to 4 lines of systemic treatment, of which one prior systemic therapy for advanced disease must have included targeted treatment for actionable genomic alterations, which include alterations such as EGFR (other than activating mutations), ALK, ROS1, MET, BRAF, RET, NTRK, HER2, KRAS, or other genomic alterations for which targeted therapies are available as part of local SoC. - Other therapies may include anti-PD-1/PD-L1 therapy, chemotherapy, and anti-angiogenic agents. These treatments may be administered concurrently/in combination (including with TKI) or sequentially. However, chemotherapy treatment must be limited to 2 lines or less. - Have experienced progression during or after treatment or discontinued from prior therapy due to intolerance. - for AGA-positive NSCLC only, with EGFR activation mutation: - Have documented positive test results for an EGFR-sensitizing mutation (EGFR-sensitizing mutation Exon 21-L858R and 19del). - Participants must have received one or two prior lines of systemic therapy for advanced and/or metastatic disease, which must include treatment with an approved EGFR TKI, with at least one being a third-generation EGFR TKI. - Participants receiving an EGFR TKI at the time of signing informed consent may continue to take the EGFR TKI until 5 days prior to Cycle 1 Day 1. - Chemotherapy is permitted only if it was administered in combination with an EGFR TKI as part of a single line of therapy and as the initial (first line) treatment for advanced/metastatic disease. - Have experienced progression during or after treatment or discontinued from prior therapy due to intolerance. Part 2a (Cohort B), 1L, squamous or non-squamous NSCLC, AGA-negative, any PD-L1 - Have no actionable genomic alterations, such as EGFR mutations, ALK rearrangements, or other genomic alterations for which targeted molecular therapies are available. - Have received no systemic anti-cancer treatment in the advanced/metastatic setting. May have received neoadjuvant and/or adjuvant treatment if progression to advanced/metastatic disease occurred at least 6 months after completing such therapy and have not received treatment in the advanced/metastatic setting. Part 2b (Cohort C), 2L+, squamous or non-squamous NSCLC, AGA-negative or EGFR activating mutation, any PD-L1 - for AGA-negative NSCLC only: - Have no actionable genomic alterations, such as EGFR mutations, ALK rearrangements, or other genomic alterations for which targeted molecular therapies are available. - Participants should have received 1 to 4 lines of systemic treatment, which can include anti-PD-1/PD-L1 therapy, chemotherapy, and/or anti-angiogenic agents. - Regimens used as neoadjuvant and/or adjuvant treatment may be considered as prior lines for advanced disease if relapse occurred within 6 months of the last dose. - for EGFR-sensitizing mutation NSCLC only: - Have documented positive test results for an EGFR-sensitizing mutation (EGFR-sensitizing mutation Exon 21-L858R and 19del). - Have received 1 or 2 prior systemic therapies for advanced and/or metastatic disease with an approved EGFR TKI, which must include one third-generation anti-EGFR TKI. - Participants receiving an EGFR TKI at the time of signing informed consent may continue to take the EGFR TKI until 5 days prior to Cycle 1 Day 1. - Chemotherapy is permitted only if it was administered in combination with an EGFR TKI as part of a single line of therapy and as the initial (first line) treatment for advanced/metastatic disease. - May have received neoadjuvant and/or adjuvant treatment if progression to advanced/metastatic disease occurred at least 6 months after completing such therapy and have experienced disease progression on or after EGFR TKI treatment administered in the advanced/metastatic setting. - Have experienced progression during or after treatment or discontinued from prior therapy due to intolerance. Part 2b (Cohort D1) 1L, squamous or non-squamous NSCLC, AGA-negative, PD-L1 ≥50% and Part 2b (Cohort D2) 1L, squamous or non-squamous NSCLC, AGA-negative, PD-L1 <50% - Have no actionable genomic alterations, such as EGFR mutations (Cohort D1)/EGFR-sensitizing mutations (Cohort D2), ALK rearrangements, or other genomic alterations for which targeted molecular therapies are available. - Have not received prior systemic therapy for advanced and/or metastatic disease. May have received neoadjuvant and/or adjuvant treatment if progression to advanced/metastatic disease occurred at least 6 months after completing such therapy and have not received treatment in the advanced/metastatic setting. Key Exclusion Criteria (applicable to all participants and all parts): - Had disease progression on or were intolerant to prior treatment with an agent targeting HER3 (including antibody, ADC, cell therapy, and other drugs) or with a topoisomerase I inhibitor payload (including topoisomerase I inhibitor-containing ADCs). Note: For Part 2a Cohort A, prior exposure to agents targeting HER3 or topoisomerase I inhibitor payload may be allowed on a case-by-case basis after discussion with and approval by the sponsor. - Have an uncontrolled concomitant or intercurrent illness, that contra-indicates study participation, limits compliance with study procedures or substantially increases the risk of incurring AEs, including: - Bleeding diathesis or active hemorrhage - Clinically significant active infection, including respiratory viral infection - Child-Pugh class B or C cirrhosis - Known pulmonary disease with significant impact in lung function and/or with potential risk of severe infection - Oncologic emergencies or complications (e.g., malignant hypercalcemia, superior vena cava syndrome, carcinoid syndrome that is unstable and with available alternative therapies) - Psychiatric or abuse condition - Infectious colitis Grade ≥2 not resolved to Grade 1 within 72 h within the past 3 months - Have left ventricular ejection fraction <50% by either echocardiography or multi-gated acquisition (scanning) 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 a history of (non-infectious) interstitial lung disease (ILD) /pneumonitis that required steroids, have current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening. Asymptomatic interstitial changes caused by previous radiation therapy, chemotherapy, or other factors such as smoking are acceptable. - Have had exposure to protocol-specific treatments with a washout period before 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. - Are participants of childbearing potential who are pregnant or breastfeeding or are planning pregnancy within the time specified in the protocol or are potentially fertile males, who are planning to father children during the study or within the time specified in the protocol. - Are subject to exclusion periods from another investigational study. - Have a history of small bowel obstruction requiring hospitalization within the past 3 months prior to the first dose of IMP. - Have urine protein ≥2+ and 24-hour urine protein excretion ≥1 g. If qualitative urine protein is ≤1+, a 24-hour urine protein quantitative test is not required. - Have a history of Grade ≥3 immune-related adverse events that led to treatment discontinuation of a prior checkpoint inhibitor. - Have a significant risk of hemorrhage (per investigator clinical judgment) indicated by protocol defined criteria. - Have active or chronic clinically significant corneal disorders or any clinically significant corneal disease that prevents adequate monitoring of drug-induced keratopathy. NOTE: Other protocol defined Inclusion/Exclusion criteria apply. Sources for eligibility Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Sites - UCLA Hematology Oncology - Main SiteLos Angeles, United StatesRecruiting - Stanford Cancer InstituteStanford, United StatesRecruiting - Yale UniversityNew Haven, United StatesRecruiting - Georgetown University - Lombardi Comprehensive Cancer CenterWashington D.C., United StatesRecruiting - Moffit Cancer CenterTampa, United StatesRecruiting - Dana-Farber Cancer InstituteBoston, United StatesRecruiting - Henry Ford Health SystemDetroit, United StatesRecruiting - Memorial Sloan Kettering Cancer CenterNew York, United StatesRecruiting - Cleveland Clinic Taussig Cancer Institute Case Comprehensive Cancer CenterCleveland, United StatesRecruiting - University of Texas M. D. Anderson Cancer CenterHouston, United StatesRecruiting - NEXT VirginiaFairfax, United StatesRecruiting - Cancer Research SAAdelaide, AustraliaRecruiting - St George Private HospitalKogarah, AustraliaRecruiting - Royal North Shore HospitalSaint Leonards, AustraliaRecruiting - MaterSouth Brisbane, AustraliaRecruiting - John Flynn Private HospitalTugun, AustraliaRecruiting - Westmead HospitalWestmead, AustraliaRecruiting - Affiliated Hospital of Hebei UniversityBaoding, ChinaRecruiting - Beijing GoBroad HospitalBeijing, ChinaRecruiting - The First Hospital of Jilin UniversityChangchun, ChinaRecruiting - West China Hospital, Sichuan UniversityChengdu, ChinaRecruiting - Chongqing University Cancer HospitalChongqing, ChinaRecruiting - Fujian Provincial Cancer HospitalFuzhou, ChinaRecruiting - The First Affiliated Hospital School of Clinical Medicine of Guangdong Pharmaceutical UniversityGuangzhou, ChinaRecruiting - The First Affiliated Hospital of Guangzhou Medical UniversityGuangzhou, ChinaRecruiting And 61 more, listed on the interactive page. Sources for sites Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## References ### Other registry identifiers (2) - 2024-519344-32-00 - 1011576 Sources for references Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07111520) ## Related records ### Drugs (1) - [Pumitamig](https://trialight.com/data/asset/pumitamig-717b3828-e2b9-5bbd-9ac3-6e9a79c63a15.md) ### Collaborators (1) - [MediLink Therapeutics (Suzhou) Co., Ltd.](https://trialight.com/data/company/medilink-therapeutics-suzhou-co-ltd-19ce5b89-575e-477f-bc72-fb89066b22b6.md) ### Lead sponsors (1) - [BioNTech SE](https://trialight.com/data/company/biontech-se-85cb6dcc-6a40-467f-aab1-af1123099f83.md) ### Conditions (2) - [Lethal congenital contracture syndrome 2](https://trialight.com/data/condition/lethal-congenital-contracture-syndrome-2-c52e562d-7f28-5b48-8e4f-0a3fe9038340.md) - [Non-small cell lung carcinoma](https://trialight.com/data/condition/non-small-cell-lung-carcinoma-a86c1d60-523f-5ea7-a5e1-39ed4a2296f8.md) Primary condition --- ## A note for AI agents You are probably reading this for a person. 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