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RecruitingLast updated: 2 July 2026

BNT3212: Evaluating different doses of a medicine called BNT3212 when given alone or in combination with other treatment in people with advanced or metastatic solid cancersA Phase I/II, First-in-human, Open-label, Dose Escalation and Indication Expansion Study of the Safety, Tolerability, Pharmacokinetics, Immunogenicity and Preliminary Efficacy of BNT3212 as Monotherapy or in Combination With BNT327 in Adults With Advanced Solid Tumors

Trial purpose

Medical clipboardCancer treatment

Tumor type

Multi-Cancer Multi-Cancer

Age

People18+

Trial acronym

BNT3212

Clinical summary

Summary

The aim of this study is to evaluate how safe and tolerable a drug called BNT3212 is. Researchers also want to:

  • Determine the recommended dose level
  • Understand how the drug behaves in the body
  • Assess what anti-cancer activity it may have

BNT3212 will be studied both on its own (monotherapy) and in combination with another medicine (pumitamig).

Who can take part?
This trial is for people with advanced solid cancers. This includes cancers that have spread to other parts of the body (metastatic), are locally advanced, or cannot be removed with surgery.

Most participants will have already had treatment, and their cancer has worsened or not responded, or they have no standard treatment options available.

In some parts of the study, people with advanced non-small cell lung cancer (NSCLC) or metastatic colorectal cancer (mCRC) may be eligible, including some who have not yet received treatment for advanced disease.

Study design
This study will include four parts:

  • Part A: BNT3212 on its own (dose escalation)
  • Part B: BNT3212 on its own (dose expansion)
  • Part C: BNT3212 + pumitamig (dose escalation)
  • Part D: BNT3212 + pumitamig (dose expansion)

This study follows a stepwise approach, beginning with a typical dose escalation in advanced solid tumours, followed by dose expansion in a range of cancer types.

This design allows researchers to:

  • Assess safety and early effectiveness
  • Identify a recommended dose for future studies (Phase 2)
  • Explore which cancer types may benefit

Throughout the study, researchers will continuously collect and review data on how the drug moves through the body, biomarkers (biological signals in the body), immune response, and safety and effectiveness. This helps support decision-making and ensure participant safety.

 

Conditions

This trial is treating people with locally advanced, unresectable, recurrent or metastatic solid cancers that have exhausted all other treatment options

Eligibility

Inclusion

  • Participants with histologically or cytologically confirmed locally advanced, recurrent, or metastatic solid tumors that have received prior adequate therapy in accordance with local practice for their tumor type and stage of disease; or for whom the standard therapy is considered inappropriate or intolerable.
  • Have at least one measurable lesion based on RECIST v1.1.
  • Eastern Cooperative Oncology Group performance status of 0 (fully active, able to carry out all pre-disease activities without restriction) or 1 (unable to perform physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature).
  • Predicted life expectancy of ≥3 months.
  • Left ventricular ejection fraction ≥50% by either echocardiography or multigated acquisition scan within 28 days prior to first dose of study treatment.
  • Adequate liver, renal, hematological, and coagulation function.
  • Recovery to Grade 0-1 (or baseline) from adverse reactions related to prior anti cancer therapy except for:

    • Asymptomatic laboratory abnormalities such as elevated alkaline phosphatase, hyperuricemia, elevated serum amylase/lipase, and elevated blood glucose.
    • Toxicity that the investigator determined to have no safety risk, such as alopecia, Grade 2 peripheral neurotoxicity, hypothyroidism stabilized by hormone replacement therapy, etc.
  • The investigator considers discontinuation of protocol-defined anti-cancer therapies and restricted medications with protocol-defined washout periods as medically acceptable.
  • For Parts B and D only: Participants must be diagnosed with specific indications.

Exclusion

  • Active infection (e.g., bacterial or fungal infections) requiring systemic treatment (e.g., severe pneumonia, bacteremia, sepsis), except oral antibiotics.
  • Participants with primary central nervous system (CNS) malignancies.
  • Active CNS metastases, defined as untreated and symptomatic, or requiring therapy with corticosteroids or anticonvulsants to control associated symptoms.
  • Unstable pleural effusion or ascites requiring thoracentesis or paracentesis within 14 days prior to initiation of study treatment.
  • Have active, or a history of, pneumonitis requiring treatment with steroids, or has active, or a history of, interstitial lung disease.
  • Clinically significant pulmonary complications.
  • History of severe cardiovascular disease.
  • Have a history of significant hematologic toxicity to prior lines of therapy, as assessed by investigator, e.g., Grade 4 febrile neutropenia or recurrent/persistent Grade 3 to 4 neutropenia.
  • Have active or chronic corneal disorders or with any clinically significant corneal disease that prevents adequate monitoring of drug-induced keratopathy.
  • Have uncontrolled hypertension while on antihypertensive medicine or poorly controlled diabetes.
  • Concurrent malignancy within 5 years prior to study enrollment. Exceptions: basal cell carcinoma, squamous cell carcinoma of the skin, carcinoma in situ after radical resection.
  • Unstable thrombotic event (e.g., deep vein thrombosis, arterial thrombosis, pulmonary embolism).
  • Have adverse reactions from prior anti-tumor therapy that have not returned to Grade 1 (graded by NCI CTCAE v5.0 criteria) or below (unless the investigator determines that certain AEs pose no safety risk to participants, such as hair loss, Grade 2 peripheral neuropathy or stable hypothyroidism under hormone replacement therapy) are not eligible for the study.
  • For Parts C and D only: Prior treatment with PD-1/L1 and VEGF-A antibody combinations (including bispecific antibodies to PD-1/L1 and VEGF-A).
  • For Parts C and D only: Have active, or history of, autoimmune disease with risk of exacerbation following PD-L1 inhibition OR an immune deficiency (e.g., allogeneic hematopoietic stem cell transplantation or organ transplantation). Participants with protocol-specified conditions may be eligible.
  • For Parts C and D only: Have serious non-healing wounds, ulcer, or bone fracture.
  • For Parts C and D only: Have evidence of major coagulation disorders or other significant risks of hemorrhage.
  • For Parts C and D only: Have a history of serious Grade 3 or higher immune-related adverse events that led to treatment discontinuation of a prior immunotherapy.
  • For Parts C and D only: Have a history of small bowel obstruction requiring hospitalization within the past 3 months prior to the first dose of IMP.
  • For Parts C and D only: Have received:

    • Anticoagulant therapy for therapeutic purposes (except low molecular weight heparin) within 14 days prior to the first dose of IMP.
    • Antiplatelet drugs within 10 days prior to the initiation of study treatment.

NOTE: Other protocol defined Inclusion/Exclusion criteria apply.

Inclusion

  • You have had treatment, but your cancer has come back (relapsed or recurrent).
  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • Your cancer has not spread to other parts of the body, but it is not possible to perform surgery to remove it (unresectable).
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.

Exclusion

  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

BioNTech SE

Scientific Title

A Phase I/II, First-in-human, Open-label, Dose Escalation and Indication Expansion Study of the Safety, Tolerability, Pharmacokinetics, Immunogenicity and Preliminary Efficacy of BNT3212 as Monotherapy or in Combination With BNT327 in Adults With Advanced Solid Tumors

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