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DB-1303/BNT323

Phase 3

HER2-positive Breast Cancer | Small molecule | Oncology |BioNTech SE|Last Updated: Aug 27, 2026

Success Probability

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment228

FDA Designations

BREAKTHROUGH_THERAPYFAST_TRACK

Clinical trial landscape

DB-1303/BNT323 · 3 trials · 3 indications

Phase 3 2Phase 1 1
NCT06265428A Study to Compare DB-1303/BNT323 Versus T-DM1 in Breast CancerHER2-positive Breast Cancer
ACTIVE NOT_RECRUITING228 Analytics
NCT06018337A Study of DB-1303/BNT323 vs Investigator's Choice Chemotherapy in HER2-Low, Hormone Receptor Positive Metastatic Breast Cancer (DYNASTY-Breast02)Metastatic Breast Cancer
ACTIVE NOT_RECRUITING541 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Study to Compare DB-1303/BNT323 Versus T-DM1 in Breast Cancer
HER2-positive Breast CancerUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Study of DB-1303/BNT323 vs Investigator's Choice Chemotherapy in HER2-Low, Hormone Receptor Positive Metastatic Breast Cancer (DYNASTY-Breast02)
Metastatic Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) by Blinded Independent Central Review (BICR) assessment per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1)
Up to approximately 24 months.

Defined as the time from randomization to the first documented disease progression per RECIST 1.1 as assessed by BICR or death due to any cause, whichever occurs first

Progression-free survival (PFS) in the HR+, HER2-low population
Up to approximately 51 months

PFS by BICR according to RECIST 1.1 in the HR+, HER2-low population

Phase 1: Percentage of Participants with Dose-Limiting Toxicities (DLTs) as assessed by CTCAE v5.0.
up to 21 days after C1D1

Percentage of participants in Part 1 with DLTs

Phase 1: Percentage of participants with AEs in Part 1 graded according to NCI CTCAE v5.0
Up to Safety Follow-Up visit, approximately 35 days post-treatment

Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) or Treatment Emergent Adverse Event of Special Interest include those \>/= G3 leading to dose reduction, interruption or discontinuation as assessed by CTCAE v5.0, abnormal vital signs, abnormal 12-lead ECGs, abnormal safety laboratory tests, abnormal ECOG PS, abnormal ECHO/MUGA (LVEF).

Phase 1: Percentage of Participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.
Up to follow-up period, approximately 1 year post-treatment

Percentage of Participants with SAEs in Part 1 graded according to NCI CTCAE v5.0

Phase 1: Maximum Tolerated Dose (MTD) of DB-1303
Up to Safety Follow-Up visit, approximately 35 days post-treatment

MTD on the data collected during Part 1

Phase 1: Recommended Phase 2 Dose (RP2D) of DB-1303
Up to Safety Follow-Up visit, approximately 35 days post-treatment

RP2D of DB-1303 based on the data collected during Part 1

Percentage of participants with AEs in Part 2 graded according to NCI CTCAE v5.0
Up to follow-up period, approximately 1 year post-treatment

Phase 2: Percentage of Participants with Treatment Emergent Adverse Events (TEAEs) or Treatment Emergent Adverse Event of Special Interest include those \>/= G3 leading to dose reduction, interruption or discontinuation as assessed by CTCAE v5.0, abnormal vital signs, abnormal 12-lead ECGs, abnormal safety laboratory tests, abnormal ECOG PS, abnormal ECHO/MUGA (LVEF).

Phase 2: Percentage participants with Serious Adverse Events (SAEs) as assessed by CTCAE v5.0.
Up to follow-up period, approximately 1 year post-treatment

Percentage of participants with SAEs in Part 2 graded according to NCI CTCAE v5.0

Phase 2: Percentage of Objective Response Rate (ORR) as assessed by RECIST 1.1.
Up to follow-up period, approximately 1 year post-treatment

The percentage of subjects who had a best response of CR or PR, for Part 2 only which was maintained ≥4 weeks.

Phase 2 (Dose Expansion 10 only): To evaluate the effect of ritonavir on DB-1303 and P1003 PK in subjects with HER2-expressing, HER2-amplified, or HER2-mutated advanced solid malignant tumors
up to safety follow-up visit, approx. 35 days post-treatment

Maximum observed plasms concentration (Cmax) and Area under the concentration-time curve from 0 to infinity of DB-1303 and P1003 (+/- Ritonavir)

Phase 2 (Dose Expansion 10 only): To evaluate the effect of itraconazole on DB-1303 and P1003 PK in subjects with HER2-expressing, HER2-amplified, or HER2-mutated advanced solid malignant tumors.
up to safety follow-up visit, approx. 35 days post-treatment

Maximum observed plasms concentration (Cmax) and Area under the concentration-time curve from 0 to infinity of DB-1303 and P1003 (+/- Itraconazole)

Secondary Endpoints

Overall Survival (OS)
Up to approximately 24 months.
Progression Free Survival (PFS) by Investigator assessment per RECIST 1.1
Up to approximately 24 months.
Objective response rate (ORR) by BICR and investigator assessment per RECIST 1.1
Up to approximately 24 months.
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
DB-1303/BNT323EXPERIMENTALEnrolled patients will receive DB-1303/BNT323 by intravenous (I.V.) infusion
T-DM1EXPERIMENTALEnrolled patients will receive T-DM1 by I.V. infusion
investigator's choice single agent chemotherapyACTIVE_COMPARATOREnrolled Subjects will be randomized to receive investigator's choice single agent chemotherapy (capecitabine:1000 or 1250 mg/m2, Oral, Twice daily orally for 2 weeks followed by a 1-week rest period in 3-week cycles; paclitaxel:80 mg/m2, IV, Every week (QW) in 3-week cycles; or nab-paclitaxel: 100 mg/m2, IV, Every week (QW) for 3 weeks followed by a one-week rest period in 4-week cycles) until RECIST 1.1 defined disease progression (PD), unless there is unacceptable toxicity, withdrawal of consent, or another criterion for discontinuation is met.
DB-1303/BNT323 Dose Level 1EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 1 on Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Level 2EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 2 on Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Level 3EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 3 on Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Level 4EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 4 on Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Level 5EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 5 on Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 1EXPERIMENTALEnrolled 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
DB-1303/BNT323 Dose Expansion 2EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 3EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 4EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 5EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Level 6EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 6 on Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Level 7EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 at Dose Level 7 on Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 6EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 7EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 8EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 9EXPERIMENTALEnrolled 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
DB-1303/BNT323 Dose Expansion 10EXPERIMENTALEnrolled 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
DB-1303/BNT323 Dose Expansion 11EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 12EXPERIMENTALEnrolled 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
DB-1303/BNT323 Dose Expansion 13EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 14EXPERIMENTALChina 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
DB-1303/BNT323 Dose Expansion 15EXPERIMENTALChina Only: Enrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 16EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W
DB-1303/BNT323 Dose Expansion 17EXPERIMENTALEnrolled Subjects will receive a single-dose of DB-1303/BNT323 on a selected dose level (RP2D) Day 1 of each cycle Q3W

Interventions

NameTypeDescription
DB-1303/BNT323DRUGAdministered I.V.
T-DM1DRUGAdministered I.V.
CapecitabineDRUGOral
PaclitaxelDRUGIV
Nab-paclitaxelDRUGIV
Pertuzumab InjectionDRUGAdministered IV
RitonavirDRUGAdministered oral
ItraconazoleDRUGAdministered oral
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites48

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 statu...

Countries:ChinaUnited StatesArgentinaAustraliaBelgiumCanadaFranceGermanyHong KongHungaryIsraelItalyPolandSouth KoreaSpainTurkey (Türkiye)United KingdomPuerto RicoTaiwan
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Recent Changes (Last 90 Days)

MEDIUMAug 27, 2026NCT05150691primaryCompletionDate: changed
MEDIUMAug 27, 2026NCT05150691primaryCompletionDate: changed

Frequently asked questions about DB-1303/BNT323

What is DB-1303/BNT323 used for?

DB-1303/BNT323 is an investigational monoclonal antibody being developed for HER2-positive advanced solid tumors, HER2-positive breast cancer, and HER2-low, hormone receptor positive metastatic breast cancer. It is currently in clinical trials for these oncology indications.

What does DB-1303/BNT323 target?

DB-1303/BNT323 targets HER2, a protein found on the surface of certain cancer cells. By binding to HER2, it is designed to deliver treatment directly to HER2-expressing tumors, which is relevant in HER2-positive and HER2-low cancers.

Who is developing DB-1303/BNT323?

DB-1303/BNT323 is being developed by BioNTech SE, a biotechnology company traded on the NASDAQ under the ticker BNTX. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various cancer indications.

What phase is DB-1303/BNT323 in?

DB-1303/BNT323 is in Phase 1 clinical development, with an ongoing Phase 1/2a study. It has also received Breakthrough Therapy and Fast Track designations from the FDA, indicating its potential to address serious conditions.

What clinical trials is DB-1303/BNT323 in?

DB-1303/BNT323 is being studied in three clinical trials: NCT05150691, a Phase 1/2a study in advanced solid tumors; NCT06018337, a Phase 3 study in metastatic breast cancer; and NCT06265428, a Phase 3 study in HER2-positive breast cancer.

Is DB-1303/BNT323 the same as BNT323?

Yes, DB-1303/BNT323 is also known as BNT323. The drug is referred to by both names in clinical trial registrations and scientific literature, and they refer to the same investigational therapy.