A Phase 1/2a Study of DB-1303/BNT323 in Advanced/Metastatic Solid Tumors

NCT ID: NCT05150691

Last Updated: 2026-01-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

796 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-31

Study Completion Date

2027-10-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This is a dose-escalation and dose-expansion Phase 1/2a trial to evaluate the safety and tolerability of DB-1303/BNT323 in subjects with advanced solid tumors that express HER2.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This is a multicenter, non-randomized (Except for Dose Expansion 1 and Dose Expansion 9 cohorts), open-label, multiple-dose, FIH study. The study consists of two parts: Part 1 adopts an accelerated titration at first dose level followed with classic "3+3" design to identify the MTD/RP2D; Part 2 is a dose expansion phase to confirm the safety, tolerability and explore efficacy in selected malignant solid tumors at the MTD/the RP2D. This study will enroll subjects with advanced/unresectable, recurrent, or metastatic HER2-expressing malignant solid tumors.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

HER2-positive Advanced Solid Tumor

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

DB-1303/BNT323 Dose Expansion 15

China Only: Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 16

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 17

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Level 1

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 1 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Level 2

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 2 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Level 3

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 3 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Level 4

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 4 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Level 5

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 5 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 1

Enrolled Subjects will be randomized to receive a single-dose of DB-1303/BNT323 on a selected dose level 1 or dose level 2 Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 2

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 3

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 4

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 5

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Level 6

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 6 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Level 7

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 7 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 6

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 7

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 8

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 9

Enrolled Subjects will be randomized to receive a single-dose of DB-1303/BNT323 on a selected dose level 1 or dose level 2 on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 10

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W along with ritonavir or itraconazole to assess the DDI potential

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

Ritonavir

Intervention Type DRUG

Administered oral

Itraconazole

Intervention Type DRUG

Administered oral

DB-1303/BNT323 Dose Expansion 11

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 12

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level 1 or dose level 2 in combination with Pertuzumab on Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

Pertuzumab Injection

Intervention Type DRUG

Administered IV

DB-1303/BNT323 Dose Expansion 13

Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

DB-1303/BNT323 Dose Expansion 14

China Only:Subjects who were previously treated with trastuzumab and taxane will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type BIOLOGICAL

Administered IV

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

DB-1303/BNT323

Administered IV

Intervention Type BIOLOGICAL

Pertuzumab Injection

Administered IV

Intervention Type DRUG

Ritonavir

Administered oral

Intervention Type DRUG

Itraconazole

Administered oral

Intervention Type DRUG

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Has a pathologically documented HER2-positive or HER2-expressing (except for cohort 2h where the requirement is HER2-null), advanced/unresectable, recurrent, or metastatic malignant solid tumor that is refractory to or intolerable with standard treatment, or for which no standard treatment is available.
* At least 1 measurable lesion (per RECIST 1.1)
* Provide signed informed consent
* ECOG performance status (PS) of 0-1.
* LVEF ≥ 50% by ECHO or MUGA
* Adequate organ functions
* Provide pre-existing diagnosis of HER2 status or resected tumor samples or undergo fresh tumor biopsy for HER2 testing.
* Life expectancy of ≥ 3 months.


1\. Has pathologically documented advanced/unresectable, recurrent, or metastatic EC (including UCS and USPC) and has progressed on or after at least 1 line of systemic treatment including platinum-based therapy and exposure to ICI but no more than prior 3 lines of therapy for advanced/unresectable, or metastatic disease. Note: endocrine therapy will not qualify as a systemic therapy line.

Exclusion Criteria

* History of symptomatic CHF (New York Heart Association \[NYHA\] classes II-IV) or serious cardiac arrhythmia requiring treatment.
* History of myocardial infarction or unstable angina within 6 months before Day 1.
* Average QTcF \> 450 ms in males and \> 470 ms in females
* History of clinically significant lung diseases
* Uncontrolled infection requiring IV antibiotics, antivirals, or antifungals.
* HIV infection with AIDS defining illness or active viral hepatitis.
* Clinically active brain metastases
* Unresolved toxicities from previous anticancer therapy, defined as toxicities not yet resolved to NCI-CTCAE version 5.0, Grade ≤ 1 or baseline.
* A known hypersensitivity to either the drug substances or inactive ingredients in the drug product.
* Part 2 (expansion) Only:Multiple primary malignancies within 3 years, except adequately resected non- melanoma skin cancer, curatively treated in-situ disease, other solid tumors curatively treated, or contralateral breast cancer.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

BioNTech SE

INDUSTRY

Sponsor Role collaborator

DualityBio Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Helios Clinical Research

Cerritos, California, United States

Site Status ACTIVE_NOT_RECRUITING

California Research Institute

Los Angeles, California, United States

Site Status ACTIVE_NOT_RECRUITING

Sharp Memorial Hospital

San Diego, California, United States

Site Status ACTIVE_NOT_RECRUITING

Washington Cancer Institute at MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Site Status ACTIVE_NOT_RECRUITING

Advanced Research LLC

Coral Springs, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

The Oncology Institute of Hope and Innovation

Lakeland, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

D&H Cancer Research Center LLC

Margate, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

HCA Mercy Hospital

Miami, Florida, United States

Site Status WITHDRAWN

BRCR Medical Center Inc.

Plantation, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

BRCR Medical Center Inc.

Tamarac, Florida, United States

Site Status ACTIVE_NOT_RECRUITING

Southeastern Regional Medical Center, LLC

Newnan, Georgia, United States

Site Status ACTIVE_NOT_RECRUITING

Kapi'olani Medical Center for Women and Children

Honolulu, Hawaii, United States

Site Status ACTIVE_NOT_RECRUITING

University of Chicago

Chicago, Illinois, United States

Site Status ACTIVE_NOT_RECRUITING

Women's Cancer Care

Covington, Louisiana, United States

Site Status WITHDRAWN

Holy Cross Hospital

Silver Spring, Maryland, United States

Site Status WITHDRAWN

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status ACTIVE_NOT_RECRUITING

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status ACTIVE_NOT_RECRUITING

Profound Research LLC/Michigan Hematology & Oncology Consultants

Dearborn, Michigan, United States

Site Status WITHDRAWN

David C. Pratt Cancer Center

St Louis, Missouri, United States

Site Status ACTIVE_NOT_RECRUITING

Women's Cancer Center of Nevada

Las Vegas, Nevada, United States

Site Status WITHDRAWN

Northwell Health

Lake Success, New York, United States

Site Status WITHDRAWN

Laura & Isaac Perlmutter Cancer Center at NYC Langone Health

New York, New York, United States

Site Status ACTIVE_NOT_RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status ACTIVE_NOT_RECRUITING

North Shore Hematology Oncology Associate P.C. DBA New York Cancer and Blood Specialists

Shirley, New York, United States

Site Status ACTIVE_NOT_RECRUITING

Regional Medical Oncology Center

Wilson, North Carolina, United States

Site Status WITHDRAWN

Gabrail Cancer Center

Canton, Ohio, United States

Site Status ACTIVE_NOT_RECRUITING

University of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status ACTIVE_NOT_RECRUITING

Rittenhouse Hematology Oncology

Philadelphia, Pennsylvania, United States

Site Status WITHDRAWN

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

AHN West Penn Hospital

Pittsburgh, Pennsylvania, United States

Site Status ACTIVE_NOT_RECRUITING

Tennessee Oncology

Nashville, Tennessee, United States

Site Status ACTIVE_NOT_RECRUITING

Clinical Trial Network

Houston, Texas, United States

Site Status WITHDRAWN

Oncology and Hematology of South Texas, PA

Laredo, Texas, United States

Site Status ACTIVE_NOT_RECRUITING

NEXT Virginia

Fairfax, Virginia, United States

Site Status ACTIVE_NOT_RECRUITING

Swedish Cancer Institute

Seattle, Washington, United States

Site Status ACTIVE_NOT_RECRUITING

Scientia Clinical Research LTD

Randwick, New South Wales, Australia

Site Status ACTIVE_NOT_RECRUITING

Macquarie Clinical Trials Unit

Sydney, New South Wales, Australia

Site Status ACTIVE_NOT_RECRUITING

Integrated Clinical Oncology Network Pty Ltd (Icon)

South Brisbane, Queensland, Australia

Site Status ACTIVE_NOT_RECRUITING

Monash Health

Melbourne, Victoria, Australia

Site Status ACTIVE_NOT_RECRUITING

The first affiliated hospital of Bengbu medical college

Bengbu, Anhui, China

Site Status RECRUITING

Anhui provincial hospital

Hefei, Anhui, China

Site Status RECRUITING

The Second Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status RECRUITING

Beijing Cancer Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Cancer Hospital Chinese Academy of Medical Science

Beijing, Beijing Municipality, China

Site Status RECRUITING

The First Hospital of Jilin University

Hongcun, Changchun, China

Site Status RECRUITING

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

The First affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

The First affiliated hospital of Xiamen University

Xiamen, Fujian, China

Site Status RECRUITING

Gansu Provincial Maternity and Child-care Hospital

Lanzhou, Gansu, China

Site Status RECRUITING

Huizhou First Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Sun Yat-Sen Memorial Hospital of Zhongshan University

Guangzhou, Guangdong, China

Site Status RECRUITING

The First affiliated hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Cancer Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status RECRUITING

The First people's hospital of Yulin

Yulin, Guangxi, China

Site Status RECRUITING

Affiliated Hospital of Hebei University

Baoding, Hebei, China

Site Status RECRUITING

Henan cancer Hospital

Zhengzhou, Hehan, China

Site Status RECRUITING

Anyang Tumor Hospital

Anyang, Henan, China

Site Status RECRUITING

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Site Status RECRUITING

Union hospital Tongji Medical college Huazhong university of science and technology

Wuhan, Hubei, China

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status RECRUITING

Hunan People's Provincial Hospital

Changsha, Hunan, China

Site Status RECRUITING

Xiangya Hospital Central South University

Changsha, Hunan, China

Site Status RECRUITING

Changzhou Tumor Hospital

Changzhou, Jiangsu, China

Site Status WITHDRAWN

Affiliated Hospital of Jiangnan University

Wuxi, Jiangsu, China

Site Status RECRUITING

The Affiliated Hospital of Xuzhou Medical College

Xuzhou, Jiangsu, China

Site Status RECRUITING

Xuzhou Cancer Hospital

Xuzhou, Jiangsu, China

Site Status WITHDRAWN

Jiangxi maternal and child health hospital

Nanchang, Jiangxi, China

Site Status RECRUITING

The Third Hospital of Nanchang

Nanchang, Jiangxi, China

Site Status RECRUITING

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status RECRUITING

Liaoning cancer hospital & Institute

Shenyang, Liaoning, China

Site Status RECRUITING

The First Hospital of China Medical University

Shenyang, Liaoning, China

Site Status RECRUITING

The First Affiliated Hospital Of Xi'an Jiaotong University

Xi'an, Shaanxi, China

Site Status RECRUITING

Central hospital affiliated to Shandong first medical university

Jinan, Shandong, China

Site Status RECRUITING

Jinan Central Hospital

Jinan, Shandong, China

Site Status RECRUITING

Shandong Cancer hospital & institute

Jinan, Shandong, China

Site Status RECRUITING

Affiliated hospital of Jining medical university

Jining, Shandong, China

Site Status RECRUITING

Linyi Tumor Hospital

Liaocheng, Shandong, China

Site Status RECRUITING

Zibo Central hospital

Zibo, Shandong, China

Site Status RECRUITING

Yantai Yuhuangding Hospital

Yantai, Shangdong, China

Site Status WITHDRAWN

Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanghai Tenth people's Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

The Obstetrics & Gynecology Hospital Affiliated to Fudan University

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Tianjin Medical university cancer institute & hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

Yunnan Provincial Cancer Hospital

Kunming, Yunnan, China

Site Status RECRUITING

1st affliated hospital of Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

The second affiliated hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

Women's hospital school of medicine Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status WITHDRAWN

BRCR Global Puerto Rico LLC.

Mayagüez, , Puerto Rico

Site Status WITHDRAWN

Seoul National University Bundang Hospital

Gyeonggi-do, Bundang-gu, South Korea

Site Status ACTIVE_NOT_RECRUITING

Samsung Medical Center

Seoul, Gangnam-gu, South Korea

Site Status ACTIVE_NOT_RECRUITING

National Cancer Center

Gyeonggi-do, Ilsandong-gu, South Korea

Site Status ACTIVE_NOT_RECRUITING

Severance Hospital

Seoul, Seodaemun-gu, South Korea

Site Status ACTIVE_NOT_RECRUITING

Asan Medical Center

Seoul, Songpa-gu, South Korea

Site Status ACTIVE_NOT_RECRUITING

Taipei Veterans General Hospital

Taipei, Beitou District, Taiwan

Site Status ACTIVE_NOT_RECRUITING

Changhua Christian Hospital

Changhua, Changhua County, Taiwan

Site Status ACTIVE_NOT_RECRUITING

Taipei Medical University Hospital

Taipei, Xinyi District, Taiwan

Site Status ACTIVE_NOT_RECRUITING

Taipei Medical University-Shuang Ho Hospital

Taipei, Zhonghe District, Taiwan

Site Status ACTIVE_NOT_RECRUITING

Mackay Memorial Hospital-Taipei

Taipei, Zhongshan District, Taiwan

Site Status ACTIVE_NOT_RECRUITING

National Taiwan University Hospital

Taipei, Zhongzheng District, Taiwan

Site Status ACTIVE_NOT_RECRUITING

Kaohsiung Veterans General Hospital

Kaohsiung City, Zuoying District, Taiwan

Site Status ACTIVE_NOT_RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

United States Australia China Puerto Rico South Korea Taiwan

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Britney Winterberger

Role: CONTACT

+1-513-403-8568

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

DB-1303-O-1001

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.