Investigational therapy for advanced solid tumors
Official title: A Phase I/II, First-in-human, Open-label Trial of the Safety, Efficacy, Tolerability, Pharmacokinetics, and Immunogenicity of BNT317 in Participants With Advanced Solid Tumors
Run by BioNTech SE · NCT06750185 · Data updated 2026-11-12
This study is testing a new therapy for people with advanced solid tumors to see if it's safe and how well it works at different doses.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 248 (estimated) |
| Sponsor | BioNTech SE Industry-sponsored |
| Drugs / interventions | chemotherapy, immunotherapy, radiation, prednisone |
| Locations | 11 sites (Louisville, Kentucky and 10 other locations) |
| Status | Recruiting |
| Started | January 13, 2025 |
| Main results expected | April 2031 |
| Study ends | April 2031 |
| Registry record updated | September 9, 2026 |
| Trial ID | NCT06750185 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with histologically or cytologically confirmed advanced tumors who have failed standard therapy or have no appropriate treatment options available.
✕Probably not a fit
Patients who have received prior treatments that inhibit CD39 or have certain measurable lesions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a first-in-human, open-label, multi-site, dose escalation study evaluating the safety, tolerability, pharmacokinetics, and immunogenicity of BNT317 in patients with advanced solid tumors. Participants will be assigned to one of four dose levels and may receive treatment for up to two years or until disease progression or unacceptable side effects occur. The study employs an accelerated titration design for the initial dose level and a Bayesian Optimal Interval design for subsequent levels to determine the maximum tolerated dose.
Why it matters
Potential benefit: If successful, this therapy could provide a new treatment option for patients with advanced solid tumors who have exhausted standard therapies.
How similar studies have gone: Other studies using similar immunotherapy approaches have shown promise, but this specific therapy is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
If not specified otherwise, criteria listed below are applicable for all parts.
Key Inclusion Criteria:
* Have histologically or cytologically confirmed advanced tumors, who have failed standard therapy, or for whom no standard treatment option is available, or for whom standard therapy is not appropriate.
* Have at least one measurable lesion based on RECIST v1.1. Lesions treated after prior local treatment (radiotherapy, ablation, interventional procedures, etc.) are generally not considered as target lesions. If the lesion with prior local treatment is the only targeted lesion, evidence-based radiology must be provided to demonstrate disease progression (the single bone metastasis or the single central nervous system \[CNS\] metastasis should not be considered as a measurable lesion).
* Adequate hematologic and organ function, as defined in the protocol.
* Have had an adequate treatment washout period before randomization/enrollment, as defined in the protocol.
* Part B1 only: Histologically confirmed diagnosis of locally advanced, unresectable (not amenable to curative surgery or radiation therapy) or metastatic clear cell RCC (including those with sarcomatoid features).
* Part B1 2L subgroup only: Had disease progression during or after one line of prior anticancer therapy for recurrent/metastatic disease which must have included immune checkpoint inhibitor and/or tyrosine kinase inhibitor (TKI).
* Part B1 3L+ subgroup only: Had disease progression during or after two or more lines of prior anticancer therapy for recurrent/metastatic disease defined as the following:
a. Prior treatment should also contain one or two of the following treatments:
* One line of immune checkpoint inhibitor.
* At least one line of a TKI.
* Part B2 only: Undergoing SoC treatment or is willing to start SoC treatment for 2L+ HER2-negative GC/GEJC in accordance with the product label and local treatment guidelines.
* Part B2 only: Histologically and/or cytologically documented metastatic adenocarcinoma and squamous carcinoma of GC/GEJC. (Note: Esophageal squamous cell carcinoma is excluded).
* Part B2 2L subgroup only: Had disease progression during or after one prior line of anticancer therapy for recurrent/metastatic disease which must have included a fluoropyrimidine analogue and a platinum agent with or without programmed death (PD)-1/ PD-ligand 1 (PD-L1). The total of cytotoxic containing regimens must be limited to maximum of 1 line for the recurrent/metastatic setting.
* Part B2 3L+ subgroup only: Had disease progression during or after two or more lines of prior anticancer therapy for recurrent/metastatic disease defined as the following:
1. Prior treatment must include one line of treatment containing a fluoropyrimidine analogue and a platinum agent, unless the participant is not a candidate in the opinion of the treating physician.
2. Prior treatment should also contain one or two of the following treatments:
* One line of a cytotoxic agent per local SoC.
* One line of a non-cytotoxic agent alone or in combination with cytotoxic chemotherapy.
* Treatment with cytotoxic agents at the recurrent/metastatic setting must be limited to a maximum of two lines.
* Part B2 only: Have a helicobacter pylori status result determined and documented prior to trial screening as part of SoC.
* Part B3 only: Undergoing SoC treatment or is willing to start SoC treatment for 2L+ AGA-negative NSCLC in accordance with the product label and local treatment guidelines.
* Part B3 only: Have advanced (i.e., metastatic or locally recurrent where local therapy with curative intent is not possible) non-squamous or squamous NSCLC.
* Part B3 only: Have no actionable genomic alterations, such as Epidermal Growth Factor Receptor mutations, anaplastic lymphoma kinase rearrangements, or other genomic alterations for which targeted molecular therapies are available. For enrolled participants with predominantly squamous histology tumors, molecular testing will not be required in cases where it is not part of the SoC.
* Part B3 only: Have experienced relapse or progression during or after treatment with standard systemic therapy including platinum-based chemotherapy and/or immune checkpoint inhibitor in the advanced/metastatic setting or discontinued from prior therapy due to intolerance.
* Part B3 only: Participants must have received 1 to 3 or more lines of systemic treatment, which can include anti-PD-1/PD-L1 therapy (if PD-L1 positive), chemotherapy, and anti-angiogenic agents. These treatments may be administered concurrently or sequentially. Prior chemotherapy must be limited to 2 lines or less.
Key Exclusion Criteria:
* Have received any of the following therapies or drugs within the noted time intervals prior to study treatment:
* Any prior treatment which inhibits cluster of differentiation 39.
* Vaccination with live attenuated vaccine(s) within 4 weeks prior to the first dose of IMP.
* Any investigational product within 4 weeks or 5 half lives (if the half life of the other investigational product is known), whichever is longer, before the first dose of IMP in this study or ongoing participation in the active treatment phase of another interventional clinical study.
* Systemic cytotoxic chemotherapy, immunotherapy within 3 weeks or five half-lives of the chemotherapy (whichever is shorter) prior to the first dose of IMP.
* Radiation therapy (chest, brain or internal organs) within 4 weeks prior to the first dose of IMP.
* Palliative radiotherapy to metastasis within 2 weeks prior to the first dose of IMP.
* Systemic corticosteroids (at a dosage greater than 10 mg/day of prednisone or an equivalent dose of other corticosteroids) within 2 weeks prior to the first dose of IMP. Note: local, intranasal, intraocular, intra-articular or inhaled corticosteroids, short term use (≤7 days) of corticosteroids for prophylaxis (e.g., prevention of contrast agent allergy) or treatment of non-autoimmune conditions (e.g., delayed hypersensitivity reactions caused by exposure to allergens) is allowed.
* Have any of the following CNS metastases:
* Untreated brain metastases that are symptomatic or large (e.g., greater than 2 cm).
* Treated CNS metastases who are not neurologically stable or on steroids or anticonvulsants within 2 weeks before initiating IMP of this study.
* Brain metastases treated with radiotherapy that are not confirmed stable by magnetic resonance imaging or contrast-enhanced computer tomography 4 weeks after radiotherapy.
* Participants with known leptomeningeal metastases.
* Have uncontrolled hypertension or poorly controlled diabetes as specified in the protocol.
* Have a history of allogeneic hematopoietic stem cell transplantation or organ transplantation.
* Have a history of serious Grade ≥3 immune-related adverse events (irAEs) or irAEs that led to discontinuation of a prior immunotherapy. Participants with a history of Grade ≥3 irAEs that did not lead to discontinuation of a prior immunotherapy may be included at the discretion of the investigator. If required by the investigator, after consultation with the sponsor.
* Have uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently).
NOTE: Other protocol defined Inclusion/Exclusion criteria apply.
Where it's running
-
Norton Cancer Institute PARENT
Louisville, Kentucky, United States Recruiting -
Carolina BioOncology Institute, LLC
Huntersville, North Carolina, United States Recruiting -
Rhode Island Hospital
East Providence, Rhode Island, United States Recruiting -
MUSC Hollings Cancer Center
Charleston, South Carolina, United States Recruiting -
Mary Crowley Cancer Research
Dallas, Texas, United States Recruiting -
START Midwest
Grand Rapids, Michigan, United States Active not recruiting
Show 5 more locations
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South Texas Accelerated Research Therapeutics (START), LLC
San Antonio, Texas, United States Active not recruiting -
Tasman Oncology Research Ltd
Southport, Queensland, Australia Active not recruiting -
Cancer Research SA
Adelaide, Australia Active not recruiting -
Monash Medical Centre Clayton
Clayton, Australia Active not recruiting -
Scientia Clinical Research
Randwick, Australia Active not recruiting
Study contacts
- Study coordinator: BioNTech clinical trials patient information
- Email: patients@biontech.de
- Phone: +49 6131 9084
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.