The aim of this first-in-human (FIH) open-label, multi-site study is to evaluate safety, tolerability, pharmacokinetics (PK), immunogenicity and preliminary clinical efficacy of BNT3212, including identification of the recommended dose of BNT3212 for use as monotherapy and with BNT327 as combination therapy, in adults with advanced solid tumors who have exhausted other treatment options.
This study will include four parts (i.e., Parts A, B, C, and D) and follow a stepwise approach, beginning with a typical dose escalation in advanced solid tumors, followed by dose expansion in a range of indications. This design allows to gradually assess safety, preliminary efficacy, potential recommended Phase 2 dose (RP2D), and indications, while ensuring an acceptable benefit-risk balance along the way. Throughout this process, clinical data - including PK, biomarker, immunogenicity, safety, and efficacy, as well as non-clinical data, will be continuously collected and evaluated to support decision-making and ensure participant safety.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
375
Intravenous infusion
Intravenous infusion
Scientia Clinical Research Limited
Randwick, Australia
NOT_YET_RECRUITINGShanghai East Hospital
Shanghai, China
RECRUITINGParts A and C - Occurrence of dose limiting toxicities (DLTs) within a participant during the DLT observation period
Per cohort.
Time frame: Until 28 days after first dose of investigational medicinal product (IMP).
All parts - Percentage of participants with treatment-emergent adverse events (TEAEs) including Grade ≥3, serious, and fatal TEAEs by relationship
Per cohort. Adverse events (AEs) graded according to the National Cancer Institute Common Terminology Criteria for AEs version 5.0 (NCI CTCAE v5.0).
Time frame: From the time of the first dose of IMP until 90 days after the last dose of IMP, approximately up to 31 months.
Parts A and C - Percentage of participants with dose interruptions or discontinuations of study treatment due to TEAEs
Per cohort.
Time frame: From the time of the first until last dose of IMP, approximately up to 31 months.
Parts B and D - Percentage of participants with dose interruptions, reductions or discontinuations of study treatment due to TEAEs
Per cohort.
Time frame: From the time of the first until last dose of IMP, approximately up to 31 months.
All parts - PK assessment: Maximum concentration (Cmax) derived from serum/plasma concentrations
Per cohort. For BNT3212 (conjugated antibody, total antibody, and unconjugated iCPT) and for BNT327 if in the combination cohorts, as data permits.
Time frame: From predose to 28 days after first dose of IMP.
All parts - PK assessment: Area under the concentration-time curve (AUC0-t) derived from serum/plasma concentrations
Per cohort. For BNT3212 (conjugated antibody, total antibody, and unconjugated iCPT) and for BNT327 if in the combination cohorts, as data permits.
Time frame: From predose to 28 days after first dose of IMP.
All parts - PK assessment: Minimum concentration (Ctrough) derived from serum/plasma concentrations
Per cohort. For BNT3212 (conjugated antibody, total antibody, and unconjugated iCPT) and for BNT327 if in the combination cohorts, as data permits.
Time frame: From predose until 90 days after the last dose of IMP.
All parts - Anti-drug antibody (ADA) prevalence
Per cohort and by dose level, derived from serum samples. Prevalence defined as the proportion of participants who are ADA positive (either baseline or post baseline), if data permits.
Time frame: For up to 90 days from the last dose of IMP.
All parts - ADA incidence
Per cohort and by dose level, derived from serum samples. Incidence defined as the proportion of participants having treatment-emergent ADA, if data permits.
Time frame: For up to 90 days from the last dose of IMP.
All parts - Objective response rate (ORR)
Per cohort. ORR defined as the proportion 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.
Time frame: From first dose of IMP until end of study, approximately up to 31 months.
All parts - Disease control rate (DCR)
Per cohort. DCR defined as the proportion of participants with confirmed CR, PR, or stable disease (SD) (per RECIST v1.1 based on the investigator's assessment) as best overall response.
Time frame: From first dose of IMP until end of study, approximately up to 31 months.
All parts - Duration of response (DOR)
Per cohort. DOR 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 (progressive disease \[PD\] per RECIST v1.1 based on the investigator's assessment) or death from any cause, whichever occurs first.
Time frame: From first dose of IMP until end of study, approximately up to 31 months.
All parts - Progression free survival (PFS)
Per cohort. PFS based on the investigator's assessment defined as the time from first dose of trial treatment to the first objective tumor progression (PD per RECIST v1.1) or death from any cause, whichever occurs first.
Time frame: From first dose of IMP until end of study, approximately up to 31 months.
All parts - Time to response (TTR)
Per cohort. TTR, defined as the time from first dose of trial treatment 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.
Time frame: From first dose of IMP until end of study, approximately up to 31 months.
All parts - Overall survival (OS)
Per cohort. OS defined as the time from first dose of trial treatment to death from any cause.
Time frame: From first dose of IMP until end of study, approximately up to 31 months.
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