A Study to Compare DB-1303/BNT323 Versus T-DM1 in Breast Cancer

NCT ID: NCT06265428

Last Updated: 2025-10-17

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

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

228 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-29

Study Completion Date

2026-02-28

Brief Summary

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This study is designed to compare efficacy and safety of DB-1303/BNT323 versus T-DM1 in HER2-positive, unresectable and/or metastatic breast cancer patients previously treated with trastuzumab and taxane.

Detailed Description

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This is a randomized controlled, 2-arm, open-label, multicenter phase III study to assess the efficacy and safety of DB-1303/BNT323 versus Trastuzumab Emtansine (T-DM1) in patients with human epidermal growth factor receptor 2 (HER2) -positive unresectable/metastatic breast cancer who have been treated with trastuzumab and taxanes. Approximately 224 patients with unresectable or metastatic HER2-positive breast cancer will be randomized 1:1 to receive DB-1303/BNT323 or T-DM1, respectively.

Conditions

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HER2-positive Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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DB-1303/BNT323

Enrolled patients will receive DB-1303/BNT323 by intravenous (I.V.) infusion

Group Type EXPERIMENTAL

DB-1303/BNT323

Intervention Type DRUG

Administered I.V.

T-DM1

Enrolled patients will receive T-DM1 by I.V. infusion

Group Type EXPERIMENTAL

T-DM1

Intervention Type DRUG

Administered I.V.

Interventions

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DB-1303/BNT323

Administered I.V.

Intervention Type DRUG

T-DM1

Administered I.V.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female adults ≥ 18 years at the time of voluntary signing of informed consent.
* Pathologically confirmed unresectable or metastatic HER2 positive breast cancer previously treated with trastuzumab and taxane
* Eastern Cooperative Oncology Group (ECOG) performance status score is 0 or 1.
* Presence of at least one measurable lesion according to RECIST v1.1
* Expected survival time ≥ 12 weeks.
* Patients must give informed consent to this study and voluntarily sign written informed consent form prior to the study.

Exclusion Criteria

* Prior anti-HER2 ADC therapy.
* Previous history of interstitial lung disease/noninfectious pneumonitis/radiation pneumonitis requiring steroid therapy.
* Known serious hypersensitivity to the active ingredients of the study drug, inactive ingredients in the formulation, or other antibody drugs.
* Multiple primary malignancies within 3 years, except for adequately resected non-melanoma skin cancer, curatively treated in situ tumor, or contralateral breast cancer
* Uncontrolled infection requiring intravenous antibiotics, antiviral or antifungal agents, autoimmune disease requiring treatment, uncontrolled diabetes, hypertension, or other systemic disease that makes compliance with study procedures difficult
* Unrecovered toxicity from prior anticancer therapy, defined as toxicity (except for alopecia) not recovered to ≤Grade 1 (NCI-CTCAE v5.0) or baseline.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BioNTech SE

INDUSTRY

Sponsor Role collaborator

DualityBio Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lily Hu

Role: STUDY_DIRECTOR

DualityBio Inc.

Locations

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015

Bengbu, Anhui, China

Site Status

016

Hefei, Anhui, China

Site Status

029

Hefei, Anhui, China

Site Status

001

Beijing, Beijing Municipality, China

Site Status

010

Beijing, Beijing Municipality, China

Site Status

038

Jilin, Changchun, China

Site Status

036

Fuzhou, Fujian, China

Site Status

037

Xiamen, Fujian, China

Site Status

023

Guangzhou, Guangdong, China

Site Status

024

Guangzhou, Guangdong, China

Site Status

026

Guangzhou, Guangdong, China

Site Status

028

Huizhou, Guangdong, China

Site Status

017

Nanning, Guangxi, China

Site Status

022

Nanning, Guangxi, China

Site Status

043

Haikou, Hainan, China

Site Status

045

Baoding, Hebei, China

Site Status

048

Shijiazhuang, Hebei, China

Site Status

020

Haerbin, Heilongjiang, China

Site Status

018

Luoyang, Henan, China

Site Status

006

Zhengzhou, Henan, China

Site Status

005

Zhengzhou, Henan, China

Site Status

011

Wuhan, Hubei, China

Site Status

009

Wuhan, Hubei, China

Site Status

030

Changsha, Hunan, China

Site Status

027

Nanjing, Jiangsu, China

Site Status

004

Nanjing, Jiangsu, China

Site Status

044

Xuzhou, Jiangsu, China

Site Status

014

Nanchang, Jiangxi, China

Site Status

008

Changchun, Jilin, China

Site Status

032

Dalian, Liaoning, China

Site Status

040

Binzhou, Shandong, China

Site Status

031

Jinan, Shandong, China

Site Status

047

Jinan, Shandong, China

Site Status

012

Linyi, Shandong, China

Site Status

039

Yantai, Shandong, China

Site Status

002

Shanghai, Shanghai Municipality, China

Site Status

046

Shanghai, Shanghai Municipality, China

Site Status

035

Taiyuan, Shanxi, China

Site Status

003

Xi’an, Shanxi, China

Site Status

007

Chengdu, Sichuan, China

Site Status

041

Neijiang, Sichuan, China

Site Status

034

Yibin, Sichuan, China

Site Status

021

Tianjin, Tianjin Municipality, China

Site Status

013

Ürümqi, Xinjiang, China

Site Status

033

Kunming, Yunnan, China

Site Status

019

Hangzhou, Zhejaing, China

Site Status

025

Hangzhou, Zhejiang, China

Site Status

042

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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CTR20233403

Identifier Type: OTHER

Identifier Source: secondary_id

DB-1303-O-3001

Identifier Type: -

Identifier Source: org_study_id

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