Clinical trial Recruiting at 14 sites Phase1; Phase2 Interventional Ages 18 and up

BNT314 with BNT327 plus chemotherapy for advanced colorectal cancer

Official title: A Phase I/II, Randomized, Multi-site Trial to Investigate the Efficacy and Safety of BNT314 in Combination With Pumitamig and Chemotherapy in Participants With Metastatic Colorectal Cancer

Run by BioNTech SE · NCT07079631 · Data updated 2026-11-12

This will test whether adding BNT314 and the immunotherapy BNT327 to standard chemotherapy helps people with metastatic, microsatellite-stable (MSS/pMMR) colorectal cancer.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment482 (estimated)
SponsorBioNTech SE
Industry-sponsored
Drugs / interventionschemotherapy, immunotherapy, radiation
Locations14 sites (New Haven, Connecticut and 13 other locations)
StatusRecruiting
StartedJuly 18, 2025
Main results expectedDecember 2030
Study endsDecember 2032
Registry record updatedJuly 1, 2026
Trial IDNCT07079631 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with unresectable, histologically confirmed metastatic colorectal adenocarcinoma that is microsatellite-stable (MSS/pMMR), with measurable disease, ECOG 0–1, adequate organ and bone marrow function, and a recent or archival tumor tissue sample (many participants will have progressed after first-line chemotherapy, with Part B allowing some treatment-naïve patients).

Probably not a fit

Patients with MSI-H tumors, poor performance status (ECOG ≥2), inadequate organ or bone marrow function, or who cannot provide required tumor tissue are unlikely to qualify or benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, multi-site Phase 1/2 program combines a bispecific agent (BNT314) with an immune checkpoint inhibitor (BNT327) and standard chemotherapy to try to stimulate an anti-tumor immune response in MSS metastatic colorectal cancer. Part A is a Phase 1 safety run-in and dose-escalation of BNT314 with BNT327, Part B refines dosing when combined with standard-of-care chemotherapy, and Part C is a randomized Phase 2 comparison of the combination plus chemotherapy versus standard chemotherapy. Participants undergo screening, receive treatment until disease progression or unacceptable toxicity (typically about 6–10 months), and are followed for safety and long-term survival with regular internal and independent data monitoring.

Why it matters

Potential benefit: If successful, the combination could increase tumor shrinkage or delay progression in MSS metastatic colorectal cancer patients who typically get little benefit from immunotherapy.

How similar studies have gone: Combining VEGF-targeting approaches and checkpoint inhibitors with chemotherapy is an active research area with mixed results in MSS mCRC, and the specific bispecific BNT314 approach is novel and largely untested in this population.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Have unresectable histologically confirmed adenocarcinoma of the colon or rectum.
* Have confirmed non-microsatellite instability-high (non-MSI-H)/pMMR mCRC per Food and Drug Administration (FDA)/European Commission (EC) approved test or based on local testing.
* Have measurable disease defined by RECIST v1.1.
* Must provide a tumor tissue sample (formalin-fixed, paraffin-embedded or tissue slides) collected before C1D1 for enrollment. A newly obtained tumor sample is preferred. If it is not feasible to obtain a recent tumor sample, participants can provide archival tumor tissue (less than 2 years prior treatment).
* Have Eastern Cooperative Oncology Group Performance Status of 0 or 1.
* Have a life expectancy of ≥12 weeks.
* Have an adequate organ and bone marrow function within ≤7 days of Day 1 as defined in the protocol.
* Have had an adequate previous treatment washout period before randomization/enrollment as defined in the protocol.

Inclusion criteria applicable to only protocol-specific cohorts:

* Have histologically confirmed metastatic colorectal cancer and radiographically documented disease progression after ≥2 prior lines of systemic therapy for metastatic disease as defined in the protocol.
* Have progressed following first-line chemotherapy as specified in the protocol.
* Have not received prior systemic therapy for MSS/pMMR mCRC. Participants who received chemotherapy, radiotherapy, or chemoradiotherapy with curative intent for non-metastatic disease in the neoadjuvant or adjuvant setting are eligible for the study if therapy was completed at least 6 months prior to initiation of study treatment.

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:

  * Prior treatment with anticancer therapies (as defined in the protocol) with unusual toxicity, or
  * Known dihydropyrimidine dehydrogenase (DPD) deficiency, testing performed according to the local guidelines. If not tested, lack of DPD activity must be tested for the participants who have not received anticancer therapies (as defined in the protocol) in the prior lines of treatment; testing should be performed according to the local guidelines.
* 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.

Where it's running

  • Yale University
    New Haven, Connecticut, United States
    Recruiting
  • START Midwest
    Grand Rapids, Michigan, United States
    Recruiting
  • Cleveland Clinic Taussig Cancer Institute Case Comprehensive Cancer Center
    Cleveland, Ohio, United States
    Recruiting
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Hämatologisch-Onkologische Praxis Eppendorf - HOPE
    Hamburg, Germany
    Recruiting
  • Asklepios Tumorzentrum Hamburg
    Hamburg, Germany
    Recruiting
Show 8 more locations
  • National Cancer Center Hospital
    Chūōku, Japan
    Recruiting
  • National Cancer Center Hospital East
    Kashiwa, Japan
    Recruiting
  • Hospital HM Nou Delfos
    Barcelona, Spain
    Recruiting
  • Vall D'Hebrón Hospital
    Barcelona, Spain
    Recruiting
  • Centro Integral Oncologico Clara Campal
    Madrid, Spain
    Recruiting
  • Guy's & St Thomas' NHS Foundation Trust, Guy's Hospital
    London, United Kingdom
    Recruiting
  • Christie NHS Foundation
    Manchester, United Kingdom
    Recruiting
  • The Royal Marsden NHS
    Sutton, United Kingdom
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.