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BNT326

Phase 1

Advanced Solid Tumor | Small molecule | Oncology |BioNTech SE|Trials Updated: Oct 9, 2026

BNT326 development status

Highest phase Phase 1
Registered trials 2 across 1 sponsor since Jul 2025

BNT326 target and mechanism

Molecular targetHER3
Target classProtein
ModalitySmall molecule

Also known as YL202, anti-HER3 antibody conjugated to topoisomerase I inhibitor

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials3
Total Enrollment2,398

FDA Designations

No designations recorded

BNT326 clinical trials

BNT326 · 3 trials · 4 indications

Phase 1 3
NCT07111520A Clinical Trial to Test if an Investigational Combination Therapy With BNT326 and BNT327 is Safe and Potentially Beneficial for People With Advanced Non-small Cell Lung Cancer (NSCLC)Non-small Cell Lung Cancer
RECRUITING880 Analytics
NCT07070232A Clinical Study to Test if an Investigational Treatment Called BNT326 is Safe and Potentially Beneficial When Used Alone or in Combination With Other Investigational Treatments Such as BNT327, for People With Advanced Malignant TumorsAdvanced Solid Tumor
RECRUITING1,438 Analytics
NCT05653752A Study of YL202 in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer and Breast CancerNon Small Cell Lung Cancer
ACTIVE NOT_RECRUITING80 Analytics
PHASE1RECRUITING
A Clinical Trial to Test if an Investigational Combination Therapy With BNT326 and BNT327 is Safe and Potentially Beneficial for People With Advanced Non-small Cell Lung Cancer (NSCLC)
Non-small Cell Lung CancerUnlock trial analytics
PHASE1RECRUITING
A Clinical Study to Test if an Investigational Treatment Called BNT326 is Safe and Potentially Beneficial When Used Alone or in Combination With Other Investigational Treatments Such as BNT327, for People With Advanced Malignant Tumors
Advanced Solid TumorUnlock trial analytics
PHASE1ACTIVE NOT_RECRUITING
A Study of YL202 in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer and Breast Cancer
Non Small Cell Lung CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Part 1 - Occurrence of dose limiting toxicities (DLTs) within a participant
21 days starting on Day 1 of Cycle 1

During the DLT evaluation period by dose level

Part 1 and Part 2a - Occurrence of treatment emergent adverse events (TEAEs), treatment-related adverse events (TRAE), treatment emergent serious adverse events (TESAE), treatment-related serious adverse events (TRSAE)
from the first dose of investigational medicinal product (IMP) up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months)
Part 1 and Part 2a - Occurrence of dose interruption, reduction, and discontinuation due to TEAEs
from the first dose of IMP up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months)
Part 2a and Part 2b - Objective response rate (ORR)
from the time of initiation of the first dose of IMP to approximately 36 months

Defined as the percentage 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.

Parts 1 and 2 - All cohorts except Cohort 1F - Occurrence of treatment emergent adverse events (TEAEs), treatment related adverse events (TRAEs), treatment emergent serious adverse events (TESAEs), and treatment related serious adverse events (TRSAEs)
from first dose of investigational medicinal product (IMP) up to 42 days (Part 1) and 90 days (Part 2) after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to 26 months Part 1 or 27 months Part 2)

By cohort and by dose in (Part 1), and by cohort and combination treatment regimen (in Part 2).

Parts 1 and 2 - All cohorts except Cohort 1F - Occurrence of dose interruption, reduction, and treatment discontinuations due to TEAEs
from first dose of IMP up to 42 days (Part 1) and 90 days (Part 2) after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to 26 months Part 1 or 27 months Part 2)

By cohort and by dose in (Part 1), and by cohort and combination treatment regimen (in Part 2)

Parts 1 and 2 - All cohorts except Cohort 1F - Confirmed overall response rate (ORR)
from the time of initiation of the first dose of IMP up to approximately 38 months (Part 1) and approximately 48 months (Part 2)

Defined as the proportion of participants in whom a confirmed complete response (CR) or partial response (PR) based on the investigator's assessment (per Response Evaluation Criteria in Solid Tumors version 1.1 \[RECIST v1.1\]) is observed as best overall response. By cohort and by dose in (Part 1), and by cohort and combination treatment regimen (in Part 2).

Part 2 - Occurrence of dose limiting toxicities (DLTs)
from the time of initiation of the first dose of IMP up to 21 days

During the DLT observation period.

Part 1 - Cohort 1F (DDI) only - PK assessment: Maximum concentration (Cmax) derived from serum concentrations of BNT326 ADC and unconjugated payload
from the time of initiation of the first dose of IMP up to safety follow-up visit, approximately 42 days post last IMP dose

Evaluation of Cmax without and in combination with the CYP inhibitors (± itraconazole or ± paroxetine). Treatment comparison using geometric mean ratio of Cycle 3 as compared with Cycle 2 as a reference.

Part 1 - Cohort 1F (DDI) only - PK assessment: Area under the curve (AUC) over the last 17-day dosing interval derived from serum concentrations of BNT326 ADC and unconjugated payload
from the time of initiation of the first dose of IMP up to safety follow-up visit, approximately 42 days post last IMP dose

Evaluation of AUC over the last 17-day dosing interval without and in combination with the CYP inhibitors (± itraconazole or ± paroxetine). Treatment comparison using geometric mean ratio of Cycle 3 as compared with Cycle 2 as a reference.

Evaluate the occurrence of DLTs during the first cycle
At the end of Cycle 1 (each cycle is 21 days)
Evaluate the AEs as characterized by type, frequency, severity, timing, seriousness and relationship to study treatment
By the global end of trial date, approximately within 36 months

Secondary Endpoints

Part 1 - ORR
from the time of initiation of the first dose of IMP to approximately 36 months
Part 2b - Occurrence of TEAEs, TRAEs, TESAEs, TRSAEs
from the first dose of IMP up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months)
Part 2b - Occurrence of dose interruption, reduction, and discontinuation due to TEAEs
from the first dose of IMP up to 90 days after the last dose of IMP or until a new systemic anti-cancer therapy is started, whichever occurs first (up to a maximum of 27 months)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part 1 - BNT326 (DL1) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig, starting dose. In participants with second-line (or higher) 2L(+), squamous or non-squamous NSCLC, actionable genomic alterations (AGA)-negative/positive, any programmed death-ligand 1 (PD-L1).
Part 1 - BNT326 (DL2) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L(+), squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 1 - BNT326 (DL3) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L(+), squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 1 - BNT326 (DL1) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L(+), squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 1 - BNT326 (DL2) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L(+), squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 1 - BNT326 (DL3) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L(+), squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 2a (Cohort A, Arm 1) - BNT326 (DL1) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+ squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 2a (Cohort A, Arm 2) - BNT326 (DL2) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+ squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 2a (Cohort A, Arm 3) - BNT326 (DL3) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+ squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 2a (Cohort A, Arm 4) - BNT326 (DL1) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+ squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 2a (Cohort A, Arm 5) - BNT326 (DL2) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+ squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 2a (Cohort A, Arm 6) - BNT326 (DL3) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+ squamous or non-squamous NSCLC, AGA-negative/positive, any PD-L1.
Part 2a (Cohort B, Arm 1) - BNT326 (DL1) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with first-line (1L) squamous or non-squamous NSCLC, AGA-negative, any PD-L1.
Part 2a (Cohort B, Arm 2) - BNT326 (DL2) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L squamous or non-squamous NSCLC, AGA-negative, any PD-L1.
Part 2a (Cohort B, Arm 3) - BNT326 (DL3) + pumitamig (DL1)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L squamous or non-squamous NSCLC, AGA-negative, any PD-L1.
Part 2a (Cohort B, Arm 4) - BNT326 (DL1) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L squamous or non-squamous NSCLC, AGA-negative, any PD-L1.
Part 2a (Cohort B, Arm 5) - BNT326 (DL2) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L squamous or non-squamous NSCLC, AGA-negative, any PD-L1.
Part 2a (Cohort B, Arm 6) - BNT326 (DL3) + pumitamig (DL2)EXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L squamous or non-squamous NSCLC, AGA-negative, any PD-L1.
Part 2b (Cohort C, Arm 1) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+, squamous or non-squamous NSCLC, AGA-negative or epithelial growth factor receptor (EGFR) activating mutation, any PD-L1. DLs used will be determined by the IRC based on data generated from Part 1 and Part 2a.
Part 2b (Cohort C, Arm 2) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 2L+, squamous or non-squamous NSCLC, AGA-negative or EGFR activating mutation, any PD-L1. DLs used will be determined by the IRC based on data generated from Part 1 and Part 2a.
Part 2b (Cohort D1, Arm 1) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L, squamous or non-squamous NSCLC, AGA-negative, PD-L1 ≥50%. DLs used will be determined by the IRC based on data generated from Part 1 and Part 2a.
Part 2b (Cohort D1, Arm 2) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L, squamous or non-squamous NSCLC, AGA-negative, PD-L1 ≥50%. DLs used will be determined by the IRC based on data generated from Part 1 and Part 2a.
Part 2b (Cohort D1, Arm 3) - Pumitamig monotherapyEXPERIMENTALPumitamig monotherapy. In participants with 1L, squamous or non-squamous NSCLC, AGA-negative, PD-L1 ≥50%. DL used will be determined by the IRC based on data generated from Part 1 and Part 2a.
Part 2b (Cohort D2, Arm 1) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L, squamous or non-squamous NSCLC, AGA-negative, PD-L1 \<50%. DLs used will be determined by the IRC based on data generated from Part 1 and Part 2a.
Part 2b (Cohort D2, Arm 2) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 and pumitamig. In participants with 1L, squamous or non-squamous NSCLC, AGA-negative, PD-L1 \<50%. DLs used will be determined by the IRC based on data generated from Part 1 and Part 2a.
Part 1 (Cohort 1A) - BNT326 monotherapyEXPERIMENTALBNT326 (DL1 or DL2 or DL3) in participants with cutaneous melanoma 2L+
Part 1 (Cohort 1B) - BNT326 monotherapyEXPERIMENTALBNT326 (DL1 or DL2) in participants with NSCLC 2L+ AGA-negative
Part 1 (Cohort 1C) - BNT326 monotherapyEXPERIMENTALBNT326 (DL1 or DL2) in participants with NSCLC 2L+ EGFRm
Part 1 (Cohort 1D) - BNT326 monotherapyEXPERIMENTALBNT326 (DL2 or DL3) in participants with rare melanoma 2L+
Part 1 (Cohort 1E) - BNT326 monotherapyEXPERIMENTALBNT326 (DL2) in participants with advanced solid tumors 2L+
Part 1 (Cohort 1F, DDI) - BNT326 + itraconazoleEXPERIMENTALBNT326 (DL1 or DL2 or DL3) + itraconazole in participants with advanced solid tumors
Part 1 (Cohort 1F, DDI) - BNT326 + paroxetineEXPERIMENTALBNT326 (DL1 or DL2 or DL3) + paroxetine in participants with advanced solid tumors
Part 1 (Cohort 1G) - BNT326 monotherapyEXPERIMENTALBNT326 (DL2 or DL3) in participants with cervical cancer 2L+
Part 2 (Cohort 2A dose escalation) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 (DL1 or DL2 or DL3) + pumitamig (DL1 or DL2) in participants with cutaneous melanoma 2L+. Optionally, combinations with lower doses of BNT326 and/or pumitamig may be explored.
Part 2 (Cohort 2A dose randomization/expansion) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 (DL1 or DL2 or DL3) + pumitamig (DL3 or DL4 or DL 5) in participants with cutaneous melanoma 2L+. Optionally, combinations with lower doses of BNT326 and/or pumitamig may be explored.
Part 2 (Cohort 2B dose escalation) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 (DL1 or DL2 or DL3) + pumitamig (DL1 or DL2) in participants with HER2-negative breast cancer (triple-negative breast cancer and hormone receptor-positive /HER2-negative breast cancer) 2L+/1L
Part 2 (Cohort 2B dose randomization/expansion) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 (DL1 or DL2 or DL3) + pumitamig (DL3 or DL4 or DL 5) in participants with HER2-negative breast cancer (triple-negative breast cancer and hormone receptor-positive /HER2-negative breast cancer) 2L+/1L
Part 2 (Cohort 2C) - Optional - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 + pumitamig in participants with cutaneous melanoma 1L+
Part 2 (Cohort 2D1) - BNT326 monotherapyEXPERIMENTALBNT326 (DL2) in participants with GC/GEJC 2L+
Part 2 (Cohort 2D2) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 (DL2 or DL3) + pumitamig (DL1 or DL2) in participants with GC/GEJC 2L+
Part 2 (Cohort 2E1) - BNT326 monotherapyEXPERIMENTALBNT326 (DL2) in participants with colorectal cancer 2L+
Part 2 (Cohort 2E2) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 (DL2 or DL3) + pumitamig (DL1 or DL2) in participants with colorectal cancer 2L+
Part 2 (Cohort 2F) - BNT326 + pumitamigEXPERIMENTALCombination therapy of BNT326 with pumitamig in participants with cervical cancer 2L+ (BNT326 DL2 with pumitamig DL1 or DL2 or BNT326 DL3 with pumitamig DL1 or DL2)
YL202 Dose escalationEXPERIMENTALYL202 will be administrated intravenously (IV) per dose level in which the patients are assigned.

Interventions

NameTypeDescription
BNT326DRUGintravenous (IV) infusion
PumitamigDRUGIV infusion
ItraconazoleDRUGOral administration
ParoxetineDRUGOral administration
YL202DRUGYL202 is provided as the lyophilized powder, 200 mg/vial. YL202 will be given intravenously once every 3 weeks (Q3W) as a cycle. The initial dose of YL202 will be infused IV into each patient for 90 ±10 minutes. If there is no infusion-related reaction after the initial dose, the second and subsequent doses of YL202 will be infused IV into each patient for 60 ±10 minutes.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites85

Key Inclusion Criteria (applicable to all participants and all parts unless otherwise specified): * Aged ≥18 years at the time of giving informed consent. Local laws will be followed if the age of consent is older. * Have measurable disease defined by RECIST v1.1. * Have Eastern Cooperative Oncolog...

Countries:United StatesAustraliaChinaGermanyItalyMoldovaPolandSpainTurkey (Türkiye)United KingdomBelgium
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Competitive Landscape -Other Solid Tumors 10 trials (matched to "Advanced Solid Tumor")

Recent Changes (Last 90 Days)

LOWOct 9, 2026NCT07070232lastUpdatePostDate: changed
LOWOct 9, 2026NCT07070232lastUpdatePostDate: changed
LOWSep 2, 2026NCT07070232lastUpdatePostDate: changed
LOWSep 2, 2026NCT07070232lastUpdatePostDate: changed
LOWSep 2, 2026NCT07070232lastUpdatePostDate: changed
MEDIUMAug 5, 2026NCT07111520Enrollment: 420 → 880
MEDIUMJul 22, 2026NCT07070232Enrollment: 980 → 1438

Frequently asked questions about BNT326

What is BNT326?

BNT326 is an investigational antibody-drug conjugate being developed by BioNTech SE for advanced solid tumors, including non-small cell lung cancer. It is designed to deliver a topoisomerase I inhibitor payload to tumor cells. BNT326 is currently in Phase 1 clinical development and is not approved for any indication.

What does BNT326 target?

BNT326 targets HER3, a protein expressed on certain tumor cells. The antibody portion binds HER3 and delivers a topoisomerase I inhibitor payload into the cell. This targeted approach aims to concentrate the cytotoxic agent in HER3-expressing tumors while limiting exposure to normal tissues.

What is BNT326 used for in advanced solid tumors?

BNT326 is being studied for the treatment of advanced solid tumors, including non-small cell lung cancer. It is an investigational therapy and has not been approved for any use. Clinical trials are evaluating BNT326 both as a single agent and in combination with other investigational treatments such as BNT327.

Who is developing BNT326?

BNT326 is being developed by BioNTech SE, a biotechnology company traded on the Nasdaq under the ticker BNTX. BioNTech is the sponsor of the ongoing Phase 1 clinical trials evaluating BNT326 in advanced solid tumors and non-small cell lung cancer.

What phase is BNT326 in?

BNT326 is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA or any regulatory agency. The Phase 1 program includes trials in advanced solid tumors and non-small cell lung cancer, with enrollment ongoing.

What clinical trials is BNT326 in?

BNT326 is being evaluated in three Phase 1 trials. NCT07111520 is testing BNT326 plus BNT327 in advanced non-small cell lung cancer. NCT07070232 is studying BNT326 alone or with BNT327 in advanced malignant tumors. NCT05653752, also known as the YL202 study, is active but not recruiting in lung and breast cancer.

Is BNT326 the same as YL202?

Yes, BNT326 is also known as YL202. It is an anti-HER3 antibody conjugated to a topoisomerase I inhibitor. The alternative name YL202 appears in the NCT05653752 trial title, which evaluates the drug in locally advanced or metastatic non-small cell lung cancer and breast cancer.