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BNT323

Phase 1

Locally Advanced Breast Cancer | Small molecule | Oncology |BioNTech SE|Last Updated: May 15, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment380
FDA Designations
BREAKTHROUGH_THERAPYFAST_TRACK
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06827236A Clinical Study to Find the Optimal Dose of an Investigational Treatment Called BNT323 When Used in Combination With Another Investigational Treatment, BNT327, and to Test if That Combination Treatment is Safe and Beneficial for Patients With Advanced Breast CancerPHASE1 RECRUITING 380Apr 23, 2025May 1, 2029May 15, 202641 United States, Canada +7
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Study Endpoints
Primary Endpoints
Part 1 - Occurrence of dose limiting toxicities (DLTs)
During the DLT evaluation period (Cycle 1), i.e., the time of initiation of the first dose of investigational medicinal product (IMP) up to 21 days

By dose level.

Occurrence of Treatment-emergent adverse events (TEAEs), Grade ≥3 TEAEs, serious adverse events (SAEs), treatment-related TEAEs, treatment-related Grade ≥3 TEAEs, and treatment-related SAEs
From the time of initiation of the first dose of IMP to 90 days after the last IMP dose

In Part 1 by dose level. In Part 2 by cohort and arm.

Occurrence of dose interruption, reduction, and discontinuation due to TEAEs
From the time of initiation of the first dose of IMP to 90 days after the last IMP dose

In Part 1 by dose level. In Part 2 by cohort and arm.

Part 2 - Objective response rate (ORR)
From the time of initiation of the first dose of IMP to last tumor assessment scan, i.e., up to 36 months.

ORR defined as the proportion of participants in whom a confirmed complete response (CR) or partial response (PR) (per Response Evaluation Criteria in Solid Tumors version 1.1 \[RECIST v1.1\] based on the investigator's assessment) is observed as best overall response. By cohort and arm.

Secondary Endpoints
Part 1 - ORR
From the time of initiation of the first dose of IMP to last tumor assessment scan, i.e., up to 36 months.
Part 2 - Duration of response (DoR)
From the time of initiation of the first dose of IMP to last tumor assessment scan, i.e., up to 36 months.
Part 2 - Disease control rate (DCR)
From the time of initiation of the first dose of IMP to last tumor assessment scan, i.e., up to 36 months.
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part1 - BNT323 + BNT327 combination therapyEXPERIMENTALEscalating dose levels (DLs) of BNT323 and BNT327 to define RP2D. Six DLs are planned, i.e., DL0-1, DL1-1, DL2-1, DL0-0, DL1-0, DL2-0, a combination of three different DLs for BNT323 (DL0, DL1, and DL2) and two DLs for BNT327 (DL0 and DL1).
Part 2 Cohort 1 - Arm 1 - RP2D of BNT323 + BNT327EXPERIMENTAL -
Part 2 Cohort 1 - Arm 2 - BNT323 + BNT327EXPERIMENTAL -
Part 2 Cohort 1 - Arm 3 - BNT323 monotherapyEXPERIMENTALBNT323 monotherapy at a fixed dose
Part 2 Cohort 1 - Arm 4 - BNT327 monotherapyEXPERIMENTALBNT327 monotherapy at a fixed dose
Part 2 Cohort 2 - RP2D of BNT323 + BNT327EXPERIMENTAL -
Part 2 Cohort 3 - RP2D of BNT323 + BNT327EXPERIMENTAL -
Part 2 Cohort 4 - RP2D of BNT323 + BNT327EXPERIMENTAL -
Interventions
NameTypeDescription
BNT323DRUGIntravenous infusion
BNT327DRUGIntravenous infusion
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites41

Key Inclusion Criteria (applicable to all participants and all parts unless otherwise specified): * Have pathologically documented BC that: * Is locally advanced, unresectable or metastatic. * Has a confirmed HER2 status as determined by the local laboratory as standard of care testing prior t...

Countries:United StatesCanadaChinaFranceGeorgiaItalyMoldovaTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06827236primaryCompletionDate: changed
LOWMay 24, 2026NCT06827236studyFirstPostDate: changed