A Phase I/II, Randomized, Multi-site Trial to Investigate the Efficacy and Safety of BNT314 in Combination With BNT327 and Chemotherapy in Participants With Metastatic Colorectal Cancer
Summary
This randomized, multi-site, three-part study will test a new treatment called BNT314, which is designed to help the body's immune system fight cancer in combination with another new treatment (BNT327, which is an immune checkpoint inhibitor) and chemotherapy in participants with metastatic colorectal cancer (mCRC). This study will enroll participants with microsatellite stable or mismatch repair proficient (MSS/pMMR) mCRC who did not respond well to their first schema of chemotherapy. In one part of the study (i.e., Part B) mCRC participants will be enrolled, who have not received any systemic therapy before for their cancer.
Detailed description
The main study goals are as follows: * Part A (Phase 1, safety run-in, dose escalation): To see if BNT314 in combination with BNT327 is safe for participants and to investigate if the administration of treatment that can be given safely, without causing severe side effects in participants. * Part B (Phase 1, dose optimization): To see if BNT314 in combination with BNT327 and standard of care (SoC) chemotherapy is safe for participants and to find out the right dose of BNT314 that can be used in Part C. * Part C (Phase 2, randomization against SoC): To see whether BNT314 and BNT327, given in combination with the usual SoC chemotherapy treatment, can shrink tumors or slow down their growth. The study consists of a screening period, a treatment period, a safety follow-up period, and a long-term survival follow-up period. The sponsor plans to proactively assess participant safety on a regular basis for the duration of the study according to a predefined internal review committee. In addition, an independent data monitoring committee will be developed to provide medical oversight over Part C of the study. Participants in the study will continue to receive treatment until their disease worsens, they can no longer tolerate the treatment, or the study ends. They are expected to be on treatment for about of 6-10 months on average. After that, they will be monitored for their survival and any potential long-term side effects even after they stop participating in the study.
Arms & interventions
- BiologicalBNT314
Intravenous (IV) infusion
- DrugBNT327
IV infusion
- DrugSoC chemotherapy treatment 1
IV infusion / IV bolus
- DrugSoC chemotherapy treatment 2
IV infusion / IV bolus / oral
- DrugBevacizumab
IV infusion
Outcome measures
Primary
Phase I - Part A: Occurrence of dose limiting toxicities (DLTs) during the DLT observation period
Time frame: Up to 28 days after Day 1, Cycle 1
Phase I - Part A: Occurrence of treatment emergent adverse events (TEAEs) and treatment related adverse events (TRAEs)
Assessed according to Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0) including Grade ≥3, serious, fatal TEAEs by relationship
Time frame: From initiation of the first dose of BNT314 + BNT327 until 90 days after last dose of investigational medicinal product (IMP)
Phase I - Part A: Occurrence of dose interruption or discontinuation of study treatment due to TEAEs
Time frame: From initiation of the first dose of BNT314 + BNT327 until 90 days after last dose of IMP
Phase I - Part B: Occurrence DLTs during the DLT observation period for the first five participants in each dose cohort
Time frame: Up to 42 days after Day 1, Cycle 1
Phase I - Part B: Occurrence of TEAEs and TRAEs
Assessed according to CTCAE v5.0 including Grade ≥3, serious, fatal TEAEs by relationship
Time frame: From initiation of the first dose of BNT314 + BNT327 + SoC chemotherapy until 90 days after last dose of IMP
Phase I - Part B: Occurrence of dose interruption or discontinuation of study treatment due to TEAEs
Time frame: From initiation of the first dose of BNT314 + BNT327 + SoC chemotherapy until 90 days after last dose of IMP
Phase I - Part B: Objective response rate (ORR)
Defined as the percentage of participants in whom a complete response (CR) or confirmed partial response (PR) (assessed by the blinded independent central review \[BICR\] per Response Evaluation Criteria in Solid Tumors version 1.1 \[RECIST v1.1\]) is observed as best overall response.
Time frame: From the time of initiation of the first dose of IMP to end of study, up to 57 months
Phase II - Part C: Progression free survival
Defined as the time from randomization to first documented tumor progression (progressive disease assessed by BICR per RECIST v1.1), or death from any cause, whichever occurs first.
Time frame: From the time of initiation of the first dose of IMP to end of study, up to 57 months
Secondary
Phase II - Part C: ORR
Time frame: From the time of initiation of the first dose of IMP to end of study, up to 57 months
Phase I - Part A: ORR
Time frame: From the time of initiation of the first dose of IMP to end of study, up to 57 months
All parts: Duration of response
Time frame: From the time of initiation of the first dose of IMP to end of study, up to 57 months
Phase I - Part A and Part B: Disease control rate
Time frame: From the time of initiation of the first dose of IMP to end of study, up to 57 months
Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter maximum concentration of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter time taken to reach maximum concentration of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter half life of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part A: Geometric mean of pharmacokinetic parameter volume of distribution of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part A: Geometric mean of pharmacokinetic parameter area under the curve of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part A and Part B: Geometric mean of pharmacokinetic parameter clearance of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part B: Geometric mean of pharmacokinetic parameter steady state volume of distribution of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part B: Geometric mean of pharmacokinetic parameter total drug exposure across time of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part B: Geometric mean of pharmacokinetic parameter area under the concentration-time curve from pre-dose to last quantifiable time point prior to the next dose of BNT314 and BNT327 in serum
Time frame: From predose to 42 days after first dose of IMP
Phase I - Part A and Part B: ADA prevalence
Time frame: Up to 90 days post last dose of IMP
Phase I - Part A and Part B: Anti-drug antibody (ADA) incidence
Time frame: Up to 90 days post last dose of IMP
Phase II - Part C: Overall survival
Time frame: From the time of initiation of the first dose of IMP to end of study, up to 57 months
Phase II - Part C: Occurrence of TEAEs and TRAEs
Time frame: From initiation of the first dose of BNT314 + BNT327 until 90 days after last dose of IMP
Phase II - Part C: Occurrence of dose interruption or discontinuation of study treatment due to TEAEs
Time frame: From initiation of the first dose of BNT314 + BNT327 until 90 days after last dose of IMP
Eligibility criteria
Study locations (4)
Yale University
New Haven, Connecticut, 06511
START Midwest
Grand Rapids, Michigan, 49546
Cleveland Clinic Taussig Cancer Institute Case Comprehensive Cancer Center
Cleveland, Ohio, 44195
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030