This study is the first time the drug BNT3214 (also referred to as PM8102) will be tested in people. It is designed to find out if the drug is safe and how well it works for adults with advanced solid tumors. The study will have three parts. The first two parts (Parts A and B) will focus on testing different amounts of BNT3214 to figure out the best and safest dose. The third part (Part C) will test selected doses of BNT3214 in multiple types of cancer.
Parts A and B will investigate the safety and tolerability of BNT3214. Part B is optional and will only be opened if emerging data from Part A indicates that an alternative BNT3214 dosing schedule may have a better benefit-risk profile for further development. Based on the available safety, pharmacokinetics (PK) or preliminary overall response data from Parts A and B, the study may progress to Part C. A study internal review committee will oversee the study to evaluate safety data as the study progresses and/or may recommend the dose levels (DLs) for the dose expansion, possible changes in the schedule of dosing, and expansion indications based on the totality of available data. There will be no randomization in Parts A and B or the dose expansion cohorts of Part C. In the dose optimization cohorts of Part C, eligible participants will be randomized to one of two DLs selected from Parts A and B. In the dose expansion cohorts, participants will be enrolled into indication-specific cohorts as predefined or may be adjusted per safety, efficacy signals from Parts A and/or B. Participants will receive BNT3214 for a maximum of 2 years or until disease progression per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1), unacceptable toxicity, withdrawal of consent, loss of clinical benefit as determined by the investigator, lost to follow-up, death, or until the sponsor terminates the study or any other criterion for discontinuation is met, whichever occurs first.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Intravenous infusion
Monash Medical Centre Clayton
Clayton, Australia
RECRUITINGAustin Health
Heidelberg Heights, Australia
All parts - Number and percentage of participants with treatment emergent adverse events (TEAEs)
Per DL/cohort. By United States National Cancer Institute Common Terminology Criteria for Adverse Events grading, seriousness, and relatedness.
Time frame: From the time of initiation of the first dose of BNT3214 until 90 days after the last dose of BNT3214
All parts - Number and percentage of participants with dose interruptions, reductions, and discontinuation of BNT3214 due to TEAEs
Per DL/cohort.
Time frame: Up to 24 months
Parts A and B only - Number and percentage of participants with dose limiting toxicities (DLTs)
During the DLT evaluation period
Time frame: From first dose up to 28 days
Part C only - Objective response rate (ORR)
Per DL/cohort. Defined as the percentage of participants in whom a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 (based on the investigator's assessment) is observed as best overall response.
Time frame: Up to 30 months
All parts - PK assessment: Area under the curve (AUC)
Per DL/cohort. Derived for BNT3214 levels in plasma or serum (for Cycle 1, single-dose and Cycle 3, multiple-dose). If data permits.
Time frame: Up to 3 months from first dose of BNT3214
All parts - PK assessment: Maximum concentration (Cmax)
Per DL/cohort. Derived for BNT3214 levels in plasma or serum (for Cycle 1, single-dose and Cycle 3, multiple-dose). If data permits.
Time frame: Up to 3 months from first dose of BNT3214
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Enrollment
533
Peter MacCallum Cancer Centre
Melbourne, Australia
NOT_YET_RECRUITINGScientia Clinical Research Ltd
Randwick, Australia
NOT_YET_RECRUITINGEpworth HealthCare
Richmond, Australia
RECRUITINGChongqing University Cancer Hospital
Chongqing, China
RECRUITINGNanfang Hospital of Southern Medical University
Guangzhou, China
RECRUITINGZhejiang Cancer Hospital
Hangzhou, China
NOT_YET_RECRUITINGShanghai East Hospital
Shanghai, China
RECRUITINGTianjin Medical University Cancer Institute & Hospital
Tianjin, China
RECRUITING...and 6 more locations
All parts - PK assessment: Time to maximum observed concentration (Tmax)
Per DL/cohort. Derived for BNT3214 levels in plasma or serum (for Cycle 1, single-dose and Cycle 3, multiple-dose). If data permits.
Time frame: Up to 3 months from first dose of BNT3214
All parts - PK assessment: Half-life (t1/2)
Per DL/cohort. Derived for BNT3214 levels in plasma or serum (for Cycle 1, single-dose and Cycle 3, multiple-dose). If data permits.
Time frame: Up to 3 months from first dose of BNT3214
Parts A and B only - ORR
Per DL/cohort. 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.
Time frame: Up to 30 months
All parts - Disease control rate
Per DL/cohort. Defined as the percentage of participants in whom a confirmed CR or PR or stable disease (assessed at least 6 weeks after the first BNT3214 dose) per RECIST v1.1 (based on the investigator's assessment) is observed as best overall response.
Time frame: Up to 30 months
All parts - Duration of response
Per DL/cohort. Defined as the time from first objective response (CR or PR) to first occurrence of objective tumor progression (progressive disease) (based on the investigator's assessment) or death from any cause, whichever occurs first.
Time frame: Up to 30 months
All parts - Anti-drug antibody (ADA) prevalence (percentage of participants who are ADA-positive)
Either baseline or post-baseline. If data permits.
Time frame: Up to 90 days from the last dose of BNT3214
All parts - ADA incidence (percentage of participants having treatment-emergent ADA)
If data permits.
Time frame: Up to 90 days from the last dose of BNT3214