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Not yet recruitingLast updated: 19 December 2025

ROSETTA Breast-01: Evaluating the drug BNT327 (also called pumitamig) or placebo when given with chemotherapy in people with locally recurrent, inoperable or metastatic triple negative breast cancer or ER-low, HER2-negative breast cancerA Phase III, Multisite, Randomized, Double-Blind Trial of BNT327 in Combination With Chemotherapy Versus Placebo With Chemotherapy in Patients With Previously Untreated Locally Recurrent Inoperable or Metastatic TNBC Determined Ineligible for PD(L)1 Therapy Based on PD-L1 Negative Disease

Trial purpose

Medical clipboardCancer treatment

Tumor type

Breast Cancers Breast

Age

People18+

Trial acronym

ROSETTA Breast-01

Clinical summary

Summary

This is a phase III trial where participants will be randomised to two treatment groups, which means participants will be assigned by equal chance to a treatment group.

This trial will be double-blinded, which means neither the participants nor the trial doctors will know which of the two treatments the participants actually receive.

Participants will receive either the trial drug with chemotherapy or placebo (which looksl ike the trial drug but does not have any drug in it) with chemotherapy.

The study consists of a:

  • Screening period (up to 28 days);
  • Treatment period, during which participants will receive pumitamig or placebo in combination with chemotherapy (until disease progression, the occurence of intolerable toxicity, withdrawal, death or trial termination);
  • Safety follow-up period (for up to 90 days after administration of the last dose of trial treatment) and surivival follow-up (until participant dies, withdraws consent for survival status follow-up, loss of contact, or sponsor decision, whichever occurs first).

Conditions

This trial is treating people with locally recurrent, inoperable, metastatic triple negative breast cancer or ER-low, HER2-negative breast cancer

Eligibility

Inclusion

  • Are considered ineligible for combination treatment with a monospecific PD(L)1 targeting immunotherapy plus chemotherapy as per their tumor PD-L1 expression status.
  • Have confirmed locally recurrent inoperable or metastatic TNBC, or estrogen receptor (ER)-low, human epidermal growth factor receptor 2 (HER2)-negative breast cancer (ER and/or progesterone receptor [PgR]) 1% to 10%, HER2 immunohistochemistry [IHC] 0, 1+, or 2+ with fluorescence in situ hybridization [FISH] negative for HER2 gene amplification) documented prior to trial screening as part of standard of care.
  • Have at least one measurable lesion as the targeted lesion based on RECIST v1.1.
  • Have provided a tissue sample, archival or fresh, during the screening period (bone biopsies, fine needle aspiration biopsies, and samples from pleural or peritoneal fluid are not acceptable; participants with only one target lesion are not eligible to participate in the trial).
  • Eastern cooperative oncology group (ECOG) performance status of 0 or 1.

Exclusion

  • Have received any of the following therapies or drugs prior to the initiation of trial:

    • Have received prior systemic anticancer therapy for advanced disease.
    • Have received prior treatment with a PD(L)-1/vascular endothelial growth factor (VEGF) bispecific antibody.
    • Have received systemic corticosteroids (at a dosage greater than 10 milligrams [mg]/day of prednisone or an equivalent dose of other corticosteroids) within 7 days prior to the initiation of trial treatment. Exception: excluding local, intranasal, intraocular, intra-articular or inhaled corticosteroids, short-term use (<= 7 days) of corticosteroids for prophylaxis (for example, prevention of contrast agent allergy) or treatment of non-autoimmune conditions (for example, delayed hypersensitivity reactions caused by exposure to allergens).
    • Have been vaccinated with live attenuated vaccine(s) within 4 weeks prior to initiation of trial treatment.
    • Have received broad-spectrum intravenous antibiotics therapy within 2 weeks prior to initiation of trial treatment.
  • Are pregnant or breastfeeding or are planning pregnancy or planning to father children during the trial or within 6 months after the last dose of pumitamig or placebo.
  • Have undergone major organ surgery, significant trauma, or invasive dental procedures (such as dental implants) within 28 days prior to the initiation of trial treatment or plan to undergo elective surgery during the trial. Placement of vascular infusion devices is allowed.
  • Have received allogeneic hematopoietic stem cell transplantation or organ transplantation.

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).

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, EU Clinical Trials Register *. View further details about this trial on the registry via the links below:

Trial sponsor

BioNTech SE

Scientific Title

A Phase III, Multisite, Randomized, Double-Blind Trial of BNT327 in Combination With Chemotherapy Versus Placebo With Chemotherapy in Patients With Previously Untreated Locally Recurrent Inoperable or Metastatic TNBC Determined Ineligible for PD(L)1 Therapy Based on PD-L1 Negative Disease

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