Recruiting
Phase 1

BNT116 & Combinations

Sponsor:

BioNTech SE

Code:

NCT05142189

Conditions

Non-Small Cell Lung Cancer

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

BNT116

Cemiplimab

Docetaxel

Carboplatin

Paclitaxel

Study Details

Brief summary:

This first-in-human (FIH) study for BNT116 aims to establish the safety profile and a safe dose for BNT116 monotherapy as well as for BNT116 in combination with approved medicinal products and/or in combination with investigational medicinal products (IMPs) including, but not limited to, cemiplimab, docetaxel, carboplatin, paclitaxel, osimertinib, anaplastic lymphoma kinase (ALK) tyrosine kinase inhibitors (TKIs), rearranged during transfection (RET) TKIs, BNT316 (an anti-cytotoxic T-lymphocyte-associated protein 4 \[CTLA-4\] antibody), an anti-B7-H3 antibody conjugated to a topoisomerase I inhibitor, an anti-human epidermal growth factor receptor 3 (HER3) antibody conjugated to a topoisomerase I inhibitor or a bispecific antibody for programmed death ligand 1 (PD-L1) and vascular endothelial growth factor A (VEGF-A) in participants with non-small cell lung cancer (NSCLC).

The study will comprise several cohorts for dose confirmation in monotherapy as well as in combinations of BNT116 as mentioned above.

The study will enroll participants with NSCLC in advanced or metastatic stage in Cohorts 1 to 4 and Cohorts 7 to 10, unresectable NSCLC Stage III in Cohorts 5 and 11, resectable NSCLC of Stage II and III in Cohort 6, advanced/metastatic epidermal growth factor receptor (EGFR)-mutant NSCLC in Cohort EGFR, and advanced/metastatic ALK rearranged or RET rearranged NSCLC in Cohort ALK/RET.

Cohort EGFR and Cohort ALK/RET will enroll only at selected sites in the US.

Conditions

Non-Small Cell Lung Cancer

Study ID

NCT05142189

Start date

Jun 17, 2022

Status verified date

Jul, 2026

Completion date

Nov, 2031

Anticipated

Primary completion date

Feb, 2030

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

  • Participants must have histologically confirmed NSCLC and measurable disease by RECIST v1.1. Note: Participants in Cohorts 1, 5 and 11 as well as in Cohorts EGFR and ALK/RET do not have to present with measurable disease.

1. Participants must present with unresectable Stage III or metastatic Stage IV NSCLC by American Joint Commission on Cancer (AJCC) Cancer Staging Manual, Eighth Edition.

EXCEPT
2. Participants in Cohorts 5 and 11 must present with unresectable Stage III NSCLC by AJCC Cancer Staging Manual, Eighth Edition before receiving pre-study chemoradiotherapy.
3. Participants in Cohort 6 with the initial diagnosis of resectable Stage II and Stage III NSCLC by AJCC Cancer Staging Manual, Eighth Edition.
  • Participants in Cohorts 2, 4, 5, 6, 10 and 11 must be able to tolerate (additional) anti-PD-1 therapy (i.e., did not permanently discontinue anti-programmed death protein 1 \[PD-1\] / PD-L1\] therapy due to toxicity).
  • Participants must have an Eastern Cooperative Oncology Group performance status (ECOG-PS) less than or equal to (<=) 1, except for participants in Cohorts 1, 4, 5, 10 and 11 who are eligible with an ECOG-PS of 0-2.

Cohort-specific inclusion criteria:

Cohort 1:

  • Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen as well as one other line of systemic therapy (except if a participant is not candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor and/or another line of systemic therapy). Note: Participants newly enrolled in Cohort 1B under protocol v 5.0 and subsequent versions of the protocol must consent to mandatory blood sampling for peripheral blood mononuclear cells (PBMCs).
  • Participants who are to start cemiplimab at Cycle 3 must present with PD-L1 expression of tumor proportion score (TPS) greater than or equal to (>=) 1% in tumor cells (as determined locally).

Cohort 2:

  • Participants must present with PD-L1 expression of TPS >= 50% in tumor cells (as determined locally prior to inclusion in this study).
  • Participants must present with progressive disease either

1. in the advanced or metastasized stage of NSCLC: while on a PD-1/PD-L1 inhibitor therapy or within 6 months of termination of this treatment as first-line treatment. Or
2. be refractory to ongoing adjuvant therapy/maintenance treatment after CRT with a PD-1/PD-L1 inhibitor that has been given for at least 3 months in monotherapy (i.e., after an initial combination therapy) before being enrolled into this study.

Cohort 3:

  • Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen (except if a participant is not candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor).
  • Participants must present with progressive disease.

Cohort 4:

  • Participants who are not candidates for chemotherapy as first-line treatment for the advanced or metastasized stage of NSCLC may be enrolled if presenting with PD-L1 expression: TPS >= 1% in tumor cells (as determined locally).

Cohort 5:

  • Participants' NSCLC must have been considered unresectable due to participant's condition and/or tumor-related factors and the participants must have undergone chemoradiotherapy before entering the study.

Cohort 6:

  • Participants' NSCLC must be considered technically and medically resectable.
  • Participants must be considered eligible for neo-adjuvant treatment.

Cohort 7:

  • Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen (except if a participant is not a candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor). Note 1: Participants may have received prior therapy targeting CTLA-4, lymphocyte-activation gene 3 (LAG-3), T cell immunoglobulin and immunoreceptor tyrosine-based inhibitory motif \[ITIM\] domain (TIGIT), VEGF or VEGF receptor (VEGFR) inhibitor as monotherapy or part of a combination therapy. Note 2: If the participants' prior therapies included a CTLA-4 inhibitor, the participant must be able to tolerate (additional) treatment with the CTLA-4 inhibitor.
  • Participants must present with progressive disease at study enrollment.
  • Participants must consent to mandatory blood sampling for PBMCs.

Cohorts 8 \& 9:

  • Participants' prior therapy must have included at least a PD-1/PD-L1 inhibitor and a platinum-based chemotherapy regimen (except if a participant is not a candidate for a platinum-based chemotherapy and/or PD-1/PD-L1 inhibitor).
  • Participants must present with progressive disease at study enrollment.

Cohort 10:

  • Participants who are not candidates for chemotherapy as first-line treatment for the advanced or metastasized stage of NSCLC may be enrolled.

Cohort 11:

  • Participants' NSCLC must have been considered unresectable due to participants condition and/or tumor related factors and the participants must have undergone chemoradiotherapy before entering the study.

Cohort EGFR (will enroll only at selected sites in the US):

  • Participants' NSCLC must have classical EGFR mutations, i.e., ex19Del or L858R.
  • Participants must have ongoing treatment with osimertinib.

Cohort ALK/RET (will enroll only at selected sites in the US):

  • Participants' NSCLC must have ALK rearrangement or RET rearrangement.
  • Participants must have ongoing treatment with a standard of care ALK TKI or RET TKI.

Key Exclusion Criteria:

  • Ongoing active systemic treatment against NSCLC.
  • Presence of a driver mutation for which approved target therapies are available except if the participant is not a candidate for the respective targeted therapy. EXCEPT participants in Cohort EGFR and Cohort ALK/RET.
  • Ongoing or recent evidence (within the last 5 years) of significant autoimmune disease that required treatment with systemic immunosuppressive treatments which may suggest risk for immune-related adverse events. Note: Participants with autoimmune-related hyperthyroidism, autoimmune-related hypothyroidism who are in remission, or on a stable dose of thyroid-replacement hormone, vitiligo, or psoriasis may be included.
  • Current evidence of new or growing brain or spinal metastases during screening. Participants with leptomeningeal disease are excluded. Participants with known brain or spinal metastases may be eligible for all Cohorts, except for Cohorts 5, 6 and 11, if they:
  • had radiotherapy or another appropriate therapy for the brain or spinal metastases, AND
  • have no neurological symptoms that can be attributed to the current brain lesions, AND
  • have stable brain or spinal disease on the computed tomography (CT) or magnetic resonance imaging (MRI) scan within 4 weeks before signing the informed consent (confirmed by stable lesions on two scans at least 4 weeks apart), AND
  • do not require steroid therapy for the treatment of brain or spinal metastases within 14 days before the first dose of study treatment. Note: Spinal bone metastases (that is, of the vertebrae) are allowed, unless imminent fracture or cord compression is anticipated.
  • Systemic immune suppression:
  • Current use of chronic systemic steroid medication (<= 5 mg/day prednisolone equivalent is allowed); participants using physiological replacement doses of prednisone for adrenal or pituitary insufficiency are eligible. Note: Steroid medication given for supportive or prophylactic reasons during CRT for participants in Cohorts 5 and 11 needs to be tapered to <= 5 mg/day prednisolone equivalent at latest on the day before the study treatment starts.
  • Other clinically relevant systemic immune suppression within the last 3 months before study enrollment.
  • Known history of seropositivity for human immunodeficiency virus (HIV) with cluster of differentiation 4 (CD4)+ T-cell (CD4+) counts less than (<) 350 cells/microlitre (mcL) and with a history of acquired immunodeficiency syndrome (AIDS)-defining opportunistic infections.
  • Prior splenectomy.
  • History/risk of interstitial lung disease or low baseline lung function (baseline pulse oximetry of less than 92% oxygen saturation without additional oxygen).

NOTE: Other protocol defined Inclusion/Exclusion criteria apply to all or some participants depending on the cohort.

Study Design

Enrollment

320 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Cohort 1A - BNT116 Monotherapy

experimental: Cohort 1B - BNT116 Monotherapy

experimental: Cohort 2 - BNT116 + Cemiplimab (PD-1/PD-L1 Inhibitor Refractory/Relapsed Participants)

experimental: Cohort 3 - BNT116 + Docetaxel

experimental: Cohort 4 - BNT116 + Cemiplimab (Frail Participants)

experimental: Cohort 5 - BNT116 + Cemiplimab (After Concurrent Chemoradiotherapy [CRT])

experimental: Cohort 6 - BNT116 + Cemiplimab + Carboplatin + Paclitaxel

BNT116 + cemiplimab + carboplatin + paclitaxel as neo-adjuvant treatment followed by surgery, thereafter adjuvant treatment with BNT116 + cemiplimab

experimental: Cohort 7 - BNT116 + BNT316

Dose finding for the combination of BNT116 with BNT316 (CTLA4 antibody) with dose escalation of BNT316

experimental: Cohort 8: BNT116 + Anti-B7-H3 Antibody Conjugated to Topoisomerase I Inhibitor

Dose finding for the combination of BNT116 with an anti-B7-H3 antibody conjugated to a topoisomerase I inhibitor with dose escalation of the anti-B7-H3 antibody conjugated to a topoisomerase I inhibitor

experimental: Cohort 9: BNT116 + Anti-HER3 Antibody Conjugated to Topoisomerase I Inhibitor

Dose confirmation for the combination of BNT116 with an anti-HER3 antibody conjugated to a topoisomerase I inhibitor with dose escalation of the anti-HER3 antibody conjugated to a topoisomerase I inhibitor

experimental: Cohort 10: BNT116 + Bispecific Antibody for PD-L1 and VEGF-A (Frail Participants)

Dose confirmation for BNT116 in combination with a bispecific antibody for programmed death ligand 1 (PD-L1) and vascular endothelial growth factor A (VEGF-A) will be established.

experimental: Cohort 11: BNT116 + Bispecific Antibody for PD-L1 and VEGF-A (After Concurrent CRT)

Dose confirmation for BNT116 in combination with a bispecific antibody for PD-L1 and VEGF-A will be established in participants after concurrent CRT.

experimental: Cohort EGFR : BNT116 + osimertinib

Dose confirmation for BNT116 in combination with ongoing osimertinib therapy. Treatment with osimertinib is standard of care.

Cohort will enroll only at selected sites in the US.

experimental: Cohort ALK/RET: BNT116 + ALK TKI or RET TKI

Dose confirmation for BNT116 in combination with either ongoing ALK-inhibitor or ongoing RET-inhibitor therapy. Treatment with ALK TKI or RET TKI is standard of care.

Cohort will enroll only at selected sites in the US.

Interventions

BNT116

Intravenous injection

Cemiplimab

Intravenous infusion

Docetaxel

Intravenous infusion

Carboplatin

Intravenous infusion

Paclitaxel

Intravenous infusion

BNT316

Intravenous infusion

anti-B7-H3 antibody conjugated to topoisomerase I inhibitor

Intravenous infusion

anti-HER3 antibody conjugated to topoisomerase I inhibitor

Intravenous infusion

Bispecific antibody for PD-L1 and VEGF-A

Intravenous infusion

Osimertinib

Oral

ALK-inhibitor or RET-inhibitor

Oral

Primary outcome measure

  • Cohorts 1, 2, 3, 4, 6, 7, 8, 9, 10, 11, EGFR and ALK/RET: Occurrence of Dose-Limiting Toxicities (DLTs) During the DLT Observation Period [ Time Frame: From first dose of IMP up to 21 days ]
  • Cohorts 1 to 11, EGFR and ALK/RET: Occurrence of Treatment-Emergent Adverse Events (TEAEs) Reported by Relationship, Seriousness, and Grade [ Time Frame: up to 27 months ]
  • Cohort 6 only: Occurrence of Post-Surgical Adverse Events (AEs) Related to BNT116 and Cemiplimab [ Time Frame: up to 27 months ]
  • Cohort 6 only: Occurrence of Treatment-Related Delays to Surgery More Than 9 weeks Post the Last Dose of Neo-Adjuvant Treatment [ Time Frame: up to 6 months ]

Central Contacts and Locations

Central contacts

BioNTech clinical trials patient information

+49 6131 9084patients@biontech.de

Locations

University of Kentucky Chandler Medical Center

Recruiting

Lexington, Kentucky, United States, 40536

Norton Cancer Institute

Recruiting

Louisville, Kentucky, United States, 40202

Johns Hopkins Sidney Kimmel Comprehensive Cancer Center

Recruiting

Baltimore, Maryland, United States, 21287

Ohio State University

Recruiting

Columbus, Ohio, United States, 43210

MD Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

NEXT Virginia

Recruiting

Fairfax, Virginia, United States, 22031

More Information

Sponsor

BioNTech SE

Last update posted

Jul 22, 2026

Last verified

Jul, 2026

Keywords

  • Cancer Vaccine
  • Non-Small Cell Lung Cancer
  • Combination with chemotherapy
  • Combination with other investigational agents
  • anti-B7-H3 antibody conjugated to topoisomerase I inhibitor
  • anti-HER3 antibody conjugated to topoisomerase I inhibitor
  • Immunotherapy
  • Antibody-drug conjugate (ADC)
  • Anaplastic lymphoma kinase (ALK) rearranged Non-Small Cell Lung Cancer
  • Rearranged during transfection (RET) rearranged Non-Small Cell Lung Cancer
  • NSCLC
  • anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) antibody
  • Epidermal growth factor receptor (EGFR)-mutant Non-Small Cell Lung Cancer
  • Combination with a programmed cell death protein 1 (PD-1) inhibitor
  • Human epidermal growth factor receptor 3

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by BioNTech SE on 2026-07-22.