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RecruitingLast updated: 5 June 2026

Testing a new treatment (BNT329) to find a safe dose, understand its side effects, and see how well it works in people with certain advanced cancers expressing CA19-9 that have not responded to previous treatmentsFirst-in-human, Open-label, Multi-site, Phase I/IIa, Dose Escalation Trial With Expansion Cohorts to Evaluate Safety and Preliminary Efficacy of BNT329 in Participants With Advanced Solid Tumors Known to Express CA19-9

Trial purpose

Medical clipboardCancer treatment

Tumor type

Multi-Cancer Multi-Cancer

Age

People18+

Clinical summary

Summary

This study is testing a new treatment called BNT329. The main aim is to find the best dose of BNT329, and understand what side effects people may have and how serious they are.

The study will also look at:

  • How well the treatment works, including whether tumours shrink or stop growing
  • How long the cancer stays stable (does not grow or spread)
  • How the treatment moves through and affects the body

Who is this study for?
This study is for people with advanced cancer that express a marker called CA19-9 and have not responded well to previous treatments. These cancers include:

  • Pancreatic cancer (PDAC)
  • Bile duct cancer
  • Invasive urothelial carcinoma of the bladder and urinary tract
  • Bowel (colorectal) cancer
  • Gastro-oesophageal junction cancer
  • Endometrial cancer
  • Ovarian cancer

Study details
The study has four parts (A, B, C and D).

Parts A, B and C:

  • Test increasing doses of BNT329 to find a safe level
  • Everyone receives the study treatment
  • Part B looks at giving the treatment more often
  • Part C looks at giving another drug before BNT329

Part D:

  • Focuses on people with pancreatic cancer who have already had treatment
  • Participants are randomly assigned (by chance) to one of two treatment groups to compare doses

What does taking part involve?
If you join the study, you will go through several stages:

  1. Screening - tests to check if the study is stuiable for you
  2. Treatment period - you receive BNT329 (for up to 2 years)
  3. End of treatment visit
  4. Follow-up visits - to monitor your health and any side effects
  5. Long-term follow-up - tracking your health after treatment

Conditions

This trial is treating people with advanced or metastatic cancers known to express CA19-9

Eligibility

Inclusion

All participants and parts:

  • Have an ECOG PS of 0 to 1
  • Have measurable disease per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1), except for ovarian cancer where participants will be evaluated according to Gynecologic Cancer InterGroup criteria.
  • Have a life expectancy of ≥3 months in the opinion of the investigator.
  • Have adequate organ, coagulation, and hematologic function as defined in the protocol.

Parts A, B, and C:

  • Have a histologically confirmed advanced/metastatic tumor type that is known to express CA19-9: PDAC, carcinoma of the bile ducts, invasive urothelial carcinoma of the bladder and urinary tract, colorectal adenocarcinoma, adenocarcinoma of the esophagogastric junction, endometrial carcinoma, and epithelial ovarian cancer (including adenocarcinoma of the fallopian tube and peritoneal epithelial cancer [except mesothelioma]).
  • Have no available standard of care therapy likely to confer clinical benefit in the opinion of the investigator. Participants must have received all available standard therapies, including targeted therapies based on mutation status (per guidelines from the Food and Drug Administration, American Society of Clinical Oncology, European Society for Medical Oncology, or local guidelines used at the site), and failed at least first-line standard of care therapy prior to enrollment.

Part D:

  • Have a histologically confirmed diagnosis of PDAC.
  • Have received at least one prior systemic treatment regimen for advanced/metastatic disease. Participants who have progressed on <6 months of (neo)adjuvant chemotherapy can be included in the study.
  • Have radiographic disease progression and no available standard of care therapy likely to confer clinical benefit in the opinion of the investigator.

Exclusion

All participants and parts:

  • Are enrolled in another investigational study or are subject to exclusion periods from another investigational study.
  • Have had an inadequate washout period for prior anticancer treatment prior to the first dose of investigational medicinal product (IMP) as defined in the protocol.
  • Have received systemic steroids (>10 mg/day of prednisone or its equivalent) or other immunosuppressive therapy within 2 weeks prior to the first dose of IMP. The following are exceptions to this criterion:

    • Inhaled sprays, topical steroids, or local steroid injections (e.g., intra-articular injection).
    • Systemic steroids at physiological doses as replacement therapy (e.g., physiological corticosteroid replacement therapy for adrenal or pituitary insufficiency).
    • Steroids as pre-medication for hypersensitivity reactions (e.g., computed tomography (CT) scan pre-medication).
  • Have received any live vaccine within 4 weeks prior to the first dose of IMP or intend to receive a live vaccine during the study.
  • Have brain metastases or spinal cord compression unless asymptomatic or treated and stable off steroids and anticonvulsants for at least 2 weeks prior to the first dose of IMP.
  • Have a history of (noninfectious) interstitial lung disease (ILD)/pneumonitis that requires steroids, current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening.
  • Have active gastric and duodenal ulcers, ulcerative colitis, or other gastrointestinal conditions that may cause bleeding or perforation in the opinion of the treating investigator.
  • Have an active infection that requires systemic therapy within 1 week prior to the first dose of IMP. Participants receiving prophylactic anti-infective therapy (e.g., to prevent a urinary tract infection or chronic obstructive pulmonary disease exacerbation) may be eligible after discussion with the sponsor.
  • Have unresolved toxicities from previous anticancer therapy as defined in the protocol.

NOTE: Other protocol defined inclusion/exclusion criteria may apply.

Inclusion

  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • You have had treatment but your cancer has gotten worse or has not responded to the treatment you have been given.
  • You have had a certain type of treatment or surgical procedure.

Exclusion

  • You are currently being treated on a clinical trial.
  • 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

First-in-human, Open-label, Multi-site, Phase I/IIa, Dose Escalation Trial With Expansion Cohorts to Evaluate Safety and Preliminary Efficacy of BNT329 in Participants With Advanced Solid Tumors Known to Express CA19-9

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