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Solid TumorsPhase 2NCT06953089

DB-1311 in Combination With BNT327 or DB-1305 in Advanced/Metastatic Solid Tumors

A Phase 2 study testing DB-1311/BNT324, BNT327 and DB-1305/BNT325 in people with Solid Tumors, run by DualityBio Inc. at 37 sites in 4 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

A Phase II, Multicenter, Open-Label Trial of DB-1311 in combination with BNT327 or DB-1305 in Participants with Advanced/Metastatic Solid Tumors Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumors
What is being tested?
DB-1311/BNT324, BNT327 and DB-1305/BNT325
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
750 participants
Where
37 sitesin 4 countries
Study dates
18 Jul 2025to 30 Jun 2030
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged ≥ 18 years or acceptable age according to local regulations at the time of voluntarily signing informed consent.
  • At least one measurable lesion as assessed by the Investigator according to RECIST v1.1 criteria.
  • Has a life expectancy of ≥ 3 months.
  • Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-1
  • Has adequate organ function within 7 days prior to enrollment/randomization,
  • Has adequate treatment washout period prior to the first dose of trial treatment.
Show all 19Show fewer
  • For HCC patients: Histological/cytological confirmed diagnosis of HCC or clinically confirmed diagnosis of HCC; Has a Child-Pugh class A liver score.
  • For CC patients: Has persistent, recurrent or metastatic CC with squamous cell, adenocarcinoma, or adenosquamous histology
  • For Melanoma patients: Histologically or cytologically confirmed diagnosis of unresectable Stage III or metastatic/stage IV melanoma.
  • For PROC patients (Part 1, Cohort 1A): Participants must have a confirmed diagnosis of OC, primary peritoneal cancer, or fallopian tube cancer, all of which with high-grade serous histology. Patients must have platinum-resistant disease.
  • For HNSCC patients: Histologically or cytologically confirmed recurrent (recurrent disease that is not amendable to curative treatment with local/ or systemic therapies)/ (disseminated) HNSCC of the oral cavity, oropharynx, hypopharynx, and larynx that is considered incurable by local therapies.
  • For NSCLC patients: Pathologically documented Stage IIIB or IIIC NSCLC not amenable for radical surgery or definitive chemoradiation or Stage IV NSQ NSCLC. Not harboring an EGFR-sensitizing mutation or ALK gene rearrangements or other onco-driver gene mutations
  • For PSOC (Part 2 Arm 6 only): Must have PSOC, defined as radiographically documented disease recurrence or progression occurring >6 months after completion of the last dose of platinum-based chemotherapy.
  • For PDAC (Part 2 Arm 7 only): Participants with advanced/unresectable metastatic PDAC without AGA who have progressed after only one prior line of standard systemic treatments (2L PDAC without AGA), or participants with AGA who have progressed on or after at least one and a maximum of two prior lines of standard systemic treatment (2L-3L PDAC with AGA).
  • For breast cancer (Part 2 Arm 8 only):
  • HR+/HER2-low or HR+/HER2-ultralow or HR+/HER2-negative BC participants: Pathologically or cytologically documented HR-positive unresectable or metastatic BC with HER2-low, HER2-ultralow or HER2-negative expression.
  • Triple negative breast cancer (TNBC): Pathologically or cytologically documented unresectable or metastatic TNBC
  • For mCRC (Part 2 Arm 9 only): Participants with advanced/unresectable mCRC without AGA who have progressed after only one prior line of standard systemic treatment (2L mCRC without AGA), or participants with AGA who have progressed on or after at least one and a maximum of two prior lines of standard systemic treatment (2L-3L mCRC with AGA).
  • For mCRPC (Part 2 Arm 10 only): Participants must have histologically or cytologically confirmed adenocarcinoma of the prostate and mCRPC

Who cannot join

  • 1. Prior treatment with B7H3 targeted therapy.
  • Prior treatment with antibody-drug conjugate with topoisomerase inhibitor.
  • Is a candidate to locoregional treatment with potential to induce complete or near complete response and prolonged tumor control, per investigator's assessment.
  • Has an uncontrolled concomitant or intercurrent illness, that in the opinion of the investigator, contra-indicates trial participation, limits compliance with trial procedures or substantially increases the risk of incurring AEs.
  • Has uncontrolled or significant cardiovascular disease. Has clinically uncontrolled pleural effusion, ascites or pericardial effusion requiring drainage, peritoneal shunt, or cell-free concentrated ascites reinfusion therapy.
  • Has a history of (non-infectious) ILD/pneumonitis.
Show all 10Show fewer
  • Any autoimmune, connective tissue or inflammatory disorders.
  • Has spinal cord compression or clinically active central nervous system (CNS) metastases.
  • Has unresolved toxicities from previous anticancer therapy, defined as toxicities (other than alopecia) not yet resolved to Grade ≤1 or baseline.
  • Other protocol defined inclusion and exclusion criteria apply.

Trial locations and contacts

37 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

37 sites in 4 countries

China16 sites, 16 recruiting
  • CHN02-0

    Beijing, Beijing Municipality, 100021

    Recruiting
  • CHN13-0

    Beijing, Beijing Municipality, 100032

    Recruiting
  • CHN23-0

    Beijing, Beijing Municipality, 100142

    Recruiting
  • CHN11-0

    Changsha, Hunan, 410013

    Recruiting
  • CHN24-0

    Chengdu, Sichuan, 610041

    Recruiting
  • CHN17-0

    Dongguan, Guangdong, 523000

    Recruiting
  • CHN06-0

    Henan, Henan, 450008

    Recruiting
  • CHN04-0

    Hubei, Hubei, 430014

    Recruiting
  • CHN04-0

    Shanghai, Shanghai Municipality, 200032

    Recruiting
  • CHN01-0

    Shanghai, Shanghai Municipality, 200120

    Recruiting
  • CHN35-0

    Shenyang, Liaoning, 110042

    Recruiting
  • CHN26-0

    Wuhan, Hubei, 00000

    Recruiting
  • CHN34-0

    Wuhan, Hubei, 430079

    Recruiting
  • CHN25-0

    Xi'an, Shaanxi, 710061

    Recruiting
  • CHN12-0

    Xinxiang, Henan, 453100

    Recruiting
  • CHN16-0

    Xuzhou, Jiangsu, 221000

    Recruiting

Other trials in China

United States15 sites, 15 recruiting
  • USA13-0

    Anderson, Texas, 46011

    Recruiting
  • USA10-0

    Atlanta, Georgia, 30318

    Recruiting
  • USA11-0

    Bethesda, Maryland, 20817

    Recruiting
  • USA03-0

    Charleston, South Carolina, 29425

    Recruiting
  • USA08-0

    Florida City, Florida, 99208

    Recruiting
  • USA12-0

    Houston, Texas, 77030

    Recruiting
  • USA14-0

    Lincoln, Nebraska, 68506

    Recruiting
  • USA06-0

    Los Angeles, California, 90025

    Recruiting
  • USA16-0

    Los Angeles, California, 90025

    Recruiting
  • USA04-0

    New York, New York, 10032

    Recruiting
  • USA15-0

    Portland, Oregon, 97239

    Recruiting
  • USA09-0

    Puyallup, Washington, 98373

    Recruiting
  • USA07-0

    Spokane, Washington, 99208

    Recruiting
  • USA05-0

    Virginia Beach, Virginia, 22031

    Recruiting
  • USA01-0

    Wheat Ridge, Colorado, 80033

    Recruiting

Other trials in United States

Australia4 sites, 4 recruiting
  • AUS05-0

    Adelaide, South Australia, 5000

    Recruiting
  • AUS06-0

    Benowa, Queensland, 4217

    Recruiting
  • AUS04-0

    Birtinya, Queensland, 4575

    Recruiting
  • AUS07-0

    North Sydney, New South Wales, 2060

    Recruiting

Other trials in Australia

Taiwan2 sites, 2 recruiting
  • TWN01-0

    Taipei, Taipei, 0

    Recruiting
  • TWN02-0

    Taipei, Taipei, 23561

    Recruiting

Other trials in Taiwan

About this study

Official title: A Phase II, Multicenter, Open-Label Trial of DB-1311 in Combination With BNT327 or DB-1305 in Participants With Advanced/Metastatic Solid Tumors

A Phase II, Multicenter, Open-Label Trial of DB-1311 in combination with BNT327 or DB-1305 in Participants with Advanced/Metastatic Solid Tumors

Read the detailed description

This is a phase II, multicenter, open-label, two-part trial designed to evaluate the safety and preliminary efficacy of DB-1311 in combination with BNT327 or DB-1311 in combination with DB-1305 in targeted participants.

Participants with recurrent, progressive as well as advanced, metastatic hepatocellular carcinoma (HCC), cervical cancer (CC), melanoma, head and neck squamous cell carcinoma (HNSCC), platinum-resistant ovarian cancer (PROC), non-small cell lung cancer (NSCLC), platinum-sensitive ovarian cancer (PSOC), pancreatic ductal carcinoma (PDAC), breast cancer, colorectal cancer (CRC), or metastatic castration resistant prostate cancer (mCRPC) are eligible to participate in the trial.

Conditions
Solid Tumors
Being tested
DB-1311/BNT324, BNT327, DB-1305/BNT325
Keywords
B7-H3, PD-L1/VEGF-A, TROP2 (Trophoblast cell surface antigen 2), ADC (antibody-drug conjugate), HNSCC (head and neck squamous cell carcinoma), HCC (hepatocellular carcinoma), Melanoma, NSCLC(non-small cell lung cancer), OC (ovarian cancer)
Medical subject headings
Squamous Cell Carcinoma of Head and Neck, Carcinoma, Hepatocellular, Melanoma, Carcinoma, Non-Small-Cell Lung, Ovarian Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DB-1311/BNT324Drug

    Administered I.V.

  • BNT327Drug

    Administered I.V.

  • DB-1305/BNT325Drug

    Administered I.V.

Study groups in NCT06953089
Study groupRoleWhat they receive
Part 1 Cohort 1A, DB-1311/BNT324+ BNT327 combination therapyExperimentalEscalating combination dose levels of DB-1311/BNT324 and BNT327 to define RP2D (Recommended Phase 2 Dose) and RP2D-1 in target population.
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 1 Cohort 1B, DB-1311/BNT324+ BNT327 combination therapyExperimentalEscalating combination dose levels of DB-1311/BNT324 and BNT327 to define RP2D and RP2D-1 in target population.
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 1 Cohort 2, DB-1311/BNT324+ DB-1305 /BNT325 combination therapyExperimentalEscalating combination dose levels of DB-1311/BNT324 and DB-1305/BNT325 to define RP2D and RP2D-1 in target population.
Receives: Drug: DB-1311/BNT324; Drug: DB-1305/BNT325
Part 2 Arm 1: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/metastatic HCC
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 2 Arm 2: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/ metastatic CC
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part2 Arm 3:RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/metastatic melanoma
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 2 Arm 4: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with recurrent/metastatic HNSCC
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 2 Arm 5: RP2D of DB-1311/BNT324 +DB-1305/BNT325 and RP2D-1 of DB-1311/BNT324 +DB-1305/BNT325ExperimentalIn participants with advanced/unresectable metastatic NSCLC
Receives: Drug: DB-1311/BNT324; Drug: DB-1305/BNT325
Part 2 Arm 6: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/metastatic PSOC
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 2 Arm 7: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/metastatic PDAC
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 2 Arm 8: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/metastatic breast cancer
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 2 Arm 9: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/metastatic CRC
Receives: Drug: DB-1311/BNT324; Drug: BNT327
Part 2 Arm 10: RP2D of DB-1311/BNT324 + BNT327ExperimentalIn participants with unresectable advanced/metastatic mCRPC
Receives: Drug: DB-1311/BNT324; Drug: BNT327

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1: Number of participants with Dose Limiting Toxicities (DLTs).

    Measured: During the DLT evaluation period, i.e., the time of initiation of the first dose of investigational medicinal product (IMP) up to 21 days

  2. Part 1: Treatment-emergent adverse events (TEAEs) and treatment-emergent serious AE (TESAEs)

    Measured: up to follow up period, e.g. up to 72 months.

  3. Part 2: Objective response rate (ORR), defined as the proportion of participants in whom a confirmed Complete response (CR) or PR is observed as best overall response by arm and dose level. (Arm 1-9).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  4. ORR, defined as the proportion of participants in whom a confirmed CR or PR is observed as best overall response (per PCWG3-modified RECIST v1.1 as assessed by investigator) (Arm 10).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

Secondary outcomes (23)
  1. Part 1: ORR, defined as the proportion of participants in whom a confirmed CR or PR is observed as best overall response (per RECIST 1.1 based on the investigator's assessment).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  2. Part 1 and 2: Duration of response (DoR) per RECIST 1.1 (Arm 1-9) and per PCWG3-modified RECIST v1.1 (Arm 10) based on the investigator's assessment.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  3. Part 1 and 2: Overall survival (OS)

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  4. Part 1 and 2: Disease-control rate (DCR) per RECIST 1.1 (Arm 1-9) and per PCWG3-modified RECIST v1.1 (Arm 10) based on the investigator's assessment.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  5. Part 1 and 2: Time to response (TTR) per RECIST 1.1 (Arm 1-9) and per PCWG3-modified RECIST v1.1 (Arm 10) based on the investigator's assessment.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  6. Part 1 and 2: Progression-free survival (PFS) per RECIST 1.1 (Arm 1-9) and per PCWG3-modified RECIST v1.1 (Arm 10) based on the investigator's assessment.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  7. Part 1: Cancer antigen 125 (CA-125) response rate assessed per Gynecological Cancer Intergroup (GCIG) criteria in participants with platinum-resistant ovarian cancer (PROC).

    Measured: From the time of initiation of the first dose of IMP to end of Part 1

  8. Part 1 and 2: Cancer antigen 125 (CA-125) response rate assessed per Gynecological Cancer Intergroup (GCIG) criteria in participants with PROC.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  9. Part 2: Prostate-specific antigen (PSA)-based endpoints PSA50 response rate in participants with mCRPC (Arm 10).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  10. Part 2: Prostate-specific antigen (PSA)-based endpoints PSA90 response rate in participants with mCRPC (Arm 10).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  11. Part 2: Prostate-specific antigen (PSA)-based endpoints time to PSA progression in participants with mCRPC (Arm 10).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  12. Part 2: Prostate-specific antigen (PSA)-based endpoints duration of PSA response in participants with mCRPC (Arm 10).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  13. Part 2:Treatment-emergent adverse events (TEAEs) and treatment-emergent serious AE (TESAEs)

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  14. Part 1 and 2: Maximum observed concentration (Cmax) of DB-1311/BNT324 ADC, total antibody and unconjugated P1021 in combination with BNT327.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  15. Part 1 and 2: Maximum observed concentration (Cmax) of DB-1311/BNT324 ADC, total antibody and unconjugated P1021 in combination with DB-1305/BNT325.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  16. Part 1 and 2: Time to reach maximum observed concentration (Tmax) of DB-1311/BNT324 ADC, total antibody and unconjugated P1021 in combination with BNT327.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  17. Part 1 and 2: Time to reach maximum observed concentration (Tmax) of DB-1311/BNT324 ADC, total antibody and unconjugated P1021 in combination with DB-1305/BNT325.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  18. Part 1 and 2: Area under the concentration-time curve from time 0 extrapolated to infinity (AUCinf) of DB-1311/BNT324 ADC, total antibody and unconjugated P1021 in combination with BNT327.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  19. Part 1 and 2: Area under the concentration-time curve from time 0 extrapolated to infinity (AUCinf) of DB-1311/BNT324 ADC, total antibody and unconjugated P1021 in combination with DB-1305/BNT325.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  20. Part 1 and 2: Terminal elimination half-life (t1/2) of DB-1311/BNT324 total ADC, total antibody and unconjugated P1021 in combination with BNT327.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  21. Part 1 and 2: Terminal elimination half-life (t1/2) of DB-1311/BNT324 ADC, total antibody and unconjugated P1021 in combination with DB-1305/BNT325.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  22. Part 1 and 2: Anti-drug antibody (ADA) prevalence: the proportion of participants who are ADA positive at any point in time (at baseline and post-baseline).

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

  23. Part 1 and Part 2: ADA incidence: the proportion of participants having treatment-emergent ADA.

    Measured: From the time of initiation of the first dose of IMP to end of study, i.e., up to 72 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 May 2025
  2. Study start18 Jul 2025
  3. Primary completion30 Jun 2030 (estimated)
  4. Study completion30 Jun 2030 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
750 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06953089
Sponsor's protocol ID
DB-1311-201
Other IDs
2025-523895-22-00, 2025
Status last verified
Oct 2026
First submitted
9 Apr 2025
Last updated
29 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing DB-1311/BNT324, BNT327 and DB-1305/BNT325 in people with Solid Tumors, run by DualityBio Inc. at 37 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 37 sites in China, United States, Australia, Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jay Ma (540-808-3925, jay.ma@dualitybiologics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1: Number of participants with Dose Limiting Toxicities (DLTs). (time frame: During the DLT evaluation period, i.e., the time of initiation of the first dose of investigational medicinal product (IMP) up to 21 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Oct 2026.

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