Molecular Characterization and Clinical Implications of Endometrial Cancer.
Angeles Alvarez Secord, Matthew A Powell, Jessica McAlpine
https://pubmed.ncbi.nlm.nih.gov/40966692/Actively Recruiting
Led by BioNTech SE · Updated on 2026-07-21
480
Participants Needed
171
Research Sites
87 weeks
Total Duration
Researchers are evaluating the effectiveness and safety of an investigational drug called BNT323 also known as DB-1303 compared with standard chemotherapy in women with recurrent endometrial cancer. The study includes two groups based on the level of HER2 protein in the tumor Cohort 1 with HER2 levels 1 or 2 who have been previously treated with immune checkpoint inhibitors, and Cohort 2 with HER2 level 3. The study aims to understand how well BNT323 or chemotherapy controls cancer progression and how the drug affects patients immune response and quality of life. Participants in Cohort 1 will be randomly assigned to receive either BNT323 or chemotherapy drugs such as doxorubicin, paclitaxel, or docetaxel. In Cohort 2, participants will receive BNT323 alone. Treatments are given intravenously and continue until the cancer progresses, unacceptable side effects occur, or consent is withdrawn. The study includes screening, treatment, safety follow-up, efficacy follow-up, and a long-term survival follow-up lasting up to about 53 months. During the study, participants will undergo regular assessments including tumor evaluations, safety monitoring, and quality of life questionnaires. Researchers will measure progression-free survival in Cohort 1 and tumor response rate in Cohort 2. Safety is monitored by tracking adverse effects and drug levels in the body. Participants can expect to be followed for up to 53 months after treatment to assess long-term outcomes and survival.
CONDITIONS
A Clinical Study of the Anti-cancer Effects of an Investigational Therapy or Chemotherapy in Patients With Recurring Uterine Cancer
B
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BioNTech SE
Lead Sponsor
DualityBio Inc.
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational therapy (BNT323) | Chemotherapy comparator (doxorubicin or taxane) | Typical current‑practice chemotherapy |
|---|---|---|---|
| What it is | An investigational HER2‑targeted antibody‑drug conjugate called trastuzumab pamirtecan (BNT323/DB‑1303) | Active comparator arm using investigator‑chosen single‑agent chemotherapy (doxorubicin or paclitaxel or docetaxel) | Standard treatment for recurrent endometrial cancer often involves single‑agent chemotherapy such as doxorubicin or paclitaxel/docetaxel |
| Primary use or purpose | Being evaluated for efficacy and safety in recurrent HER2‑expressing endometrial cancer | Used as active chemotherapy comparator to assess progression‑free survival or response | Represents current clinical chemotherapy options offered outside experimental trials |
| How it is given or performed | Delivered by intravenous infusion as an antibody‑drug conjugate | Given as IV bolus or infusion of a single chemotherapy agent selected by the investigator | Generally administered via IV bolus or infusion per standard oncologist practice |
| Clinical evidence status | Phase III being conducted; prior Phase II showed promising response rates and PFS (ORR ~48%, median PFS ~8 months) | Established efficacy for disease control though response rates are modest in recurrent setting | Standard therapy often yields limited responses (~15% response rate in recurrent disease) |
| Important limitations | Effectiveness and safety still under investigation; unknown long‑term outcomes | Response rates are modest and durability limited in recurrent setting | Limited activity in recurrent HER2‑expressing endometrial cancer context |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Approximately 6 months
Participants receive either the investigational drug BNT323 or chemotherapy drugs through intravenous infusion until disease progression, unacceptable side effects, or withdrawal of consent.
Regular visits for treatment and assessments
Duration - Up to approximately 53 months
Participants are monitored for safety and treatment effectiveness through regular evaluations after treatment ends.
Periodic visits during follow-up
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Angeles Alvarez Secord, Matthew A Powell, Jessica McAlpine
https://pubmed.ncbi.nlm.nih.gov/40966692/BioNTech SE
Lead Sponsor
DualityBio Inc.
Collaborating Sponsor