A study comparing BNT323 with chemotherapy in patients with HER2-expressing recurrent endometrial cancer who received previous treatment

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What is this study about?

This study involves patients with endometrial cancer, which is cancer of the lining of the uterus, that has come back after previous treatment. The study is looking at patients whose cancer shows a protein called HER2 on the surface of the cancer cells. Patients in this study will receive either an investigational treatment called BNT323, which is given through a vein, or a chemotherapy medicine chosen by their doctor. The chemotherapy options include paclitaxel, which is a medicine that stops cancer cells from dividing, or doxorubicin hydrochloride, which is a medicine that damages the genetic material inside cancer cells to stop them from growing.

The purpose of the study is to compare how well BNT323 works against the doctor’s choice of chemotherapy in stopping the cancer from getting worse or spreading. The study will measure how long patients live without their cancer growing or spreading, and how long patients survive overall. The study will also look at how many patients have their tumors shrink or disappear, how long these responses last, and what side effects occur with each treatment. Patients will be assigned to one treatment or the other by chance, similar to flipping a coin, and both the patients and their doctors will know which treatment is being given.

During the study, patients will receive their assigned treatment for up to six months, and they will be monitored regularly with scans and tests to see how their cancer is responding and to check for any side effects. The study will track whether the cancer grows or spreads, and doctors will use specific measurement criteria to evaluate the size and extent of the tumors throughout the treatment period. The information gathered will help determine whether BNT323 is more effective than standard chemotherapy for treating this type of recurring uterine cancer.

1 Random assignment to treatment group

Upon joining the study, you will be randomly assigned to one of two treatment groups. This process is similar to flipping a coin and determines which treatment you will receive.

One group will receive BNT323 (also known as DB-1303), which is an investigational therapy being tested in this study.

The other group will receive chemotherapy chosen by your doctor, which may include paclitaxel or doxorubicin hydrochloride.

2 Treatment administration

If you are assigned to receive BNT323, the medication will be given through intravenous infusion, which means it will be delivered directly into your vein over a period of time.

If you are assigned to receive chemotherapy, the medication will be administered either through intravenous infusion or as a solution for injection, depending on which chemotherapy your doctor selects.

The specific dosage, frequency, and duration of treatment will be determined by the study protocol and your doctor’s assessment.

3 Regular monitoring and imaging assessments

Throughout the study, your cancer will be monitored using imaging scans to assess how the treatment is affecting the tumor.

These assessments will follow specific criteria called RECIST 1.1, which is a standardized method for measuring tumor size and response to treatment.

The images will be reviewed by independent experts who are not directly involved in your care to ensure objective evaluation.

4 Safety monitoring

Your health will be closely monitored throughout the study for any side effects or adverse reactions to the treatment.

Any new symptoms or medical issues that occur during treatment will be documented and evaluated.

Your doctor may adjust your treatment, including pausing, reducing the dose, or stopping the medication, depending on how you respond and any side effects you experience.

5 Continuation of treatment

You will continue receiving the assigned treatment until your cancer progresses, you experience unacceptable side effects, or you and your doctor decide to stop treatment.

The study will track how long your cancer remains stable or responds to treatment.

6 Long-term follow-up

After completing or stopping treatment, you will continue to be followed to monitor your overall health and survival.

This follow-up period will continue until the study ends, which is estimated to be in November 2029.

Who Can Join the Study?

    To be able to join this clinical trial, you must meet all of the following requirements:

  • You must be a female adult
  • You must have endometrial cancer, which is cancer of the lining of the uterus, that has been confirmed by examining tissue under a microscope
  • Your cancer must have come back after previous treatment, which is called recurrent cancer
  • Your cancer must have a specific protein called HER2 with a score of 1+, 2+, or 3+, which will be tested by a central laboratory
  • Your cancer must not be a type called true sarcoma, which is a different kind of cancer
  • You must have cancer that can be measured using imaging scans, according to specific guidelines called RECIST 1.1, which are standards used to measure tumors
  • You must have an ECOG Performance Status of 0, 1, or 2, which is a score that measures how well you can perform daily activities, with 0 meaning you are fully active and 2 meaning you are able to care for yourself but cannot work
  • You must have received at least one previous treatment with platinum-based therapy, which is a type of chemotherapy containing platinum drugs, at any point during your cancer care
  • You may have had up to three previous lines of treatment for your cancer
  • Your doctor must expect that you will live for at least 12 weeks or longer at the time of screening

Who Cannot Join the Study?

  • You cannot participate if you are male, as this study is only for female patients
  • You cannot participate if you are under 18 years of age
  • You cannot participate if your endometrial cancer (cancer of the lining of the womb) does not express HER2, which is a specific protein found on the surface of some cancer cells
  • You cannot participate if you have not received previous ICI treatment, which stands for immune checkpoint inhibitor therapy – a type of cancer treatment that helps your immune system fight cancer
  • You cannot participate if your cancer has not come back or is not recurrent, meaning the cancer has not returned after previous treatment
  • You cannot participate if you have not previously received chemotherapy, as this study compares a new treatment to standard chemotherapy options

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Medical University Of Vienna Vienna Austria
Medizinische Universitaet Innsbruck Innsbruck Austria
Technische Universitaet Dresden Dresden Germany
Katholieke Universiteit te Leuven Leuven Belgium
Fondazione Policlinico Universitario Agostino Gemelli IRCCS Rome Italy
Oslo Universitetssykehus HF Oslo Norway
General Hospital Of Messinia Kalamata Greece
Comite Entreprise Paul Papin Angers France
Institut De Cancerologie De Lorraine Vandoeuvre Les Nancy France
Hospital Universitario Y Politecnico La Fe Valencia Spain
DRK Kliniken Berlin Berlin Germany

Other Sites

Site Name City Country Status
Institut Jules Bordet Anderlecht Belgium
University Of Debrecen Debrecen Hungary
University Hospital Ostrava Ostrava Czechia
Odense University Hospital Odense Denmark
Universitaetsklinikum Tuebingen AöR Tuebingen Germany
Ospedale San Raffaele S.r.l. Milan Italy
Region Skane Skanes Universitetssjukhus Lund Sweden
Alexandra Hospital Athens Greece
Hospital Clinic De Barcelona Barcelona Spain
Charite Universitaetsmedizin Berlin KöR Berlin Germany
Fakultni Nemocnice Brno Brno Czechia
Karolinska University Hospital Solna Sweden
Turku University Hospital Turku Finland
Aalborg University Hospital Aalborg Denmark
Rheinische Friedrich-Wilhelms-Universitaet Bonn Bonn Germany
Klinikum Kassel GmbH Kassel Germany
Rigshospitalet Copenhagen Denmark
Istituto Europeo Di Oncologia S.r.l. Milan Italy
IRCCS Istituto Nazionale Tumori Fondazione Pascale Naples Italy
Centre hospitalier universitaire de Liege Liege Belgium
Universitair Ziekenhuis Gent Gent Belgium
Hospital Universitario 12 De Octubre Madrid Spain
Helse Stavanger HF Stavanger Norway
Istituto Tumori Bari Giovanni Paolo II Bari Italy
Fundacion Instituto Valenciano De Oncologia Valencia Spain
Centre Hospitalier Universitaire Dinant Godinne Sainte-Elisabeth-UCL-Namur Namur Belgium
Algemeen Ziekenhuis Groeninge Kortrijk Belgium
Oulu University Hospital Oulu Finland
Fondazione I.R.C.C.S. Istituto Neurologico Besta Milan Italy
Universitaetsklinikum Leipzig AöR Leipzig Germany
Uniklinikum Salzburg Salzburg Austria
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara Chaidari Greece
Orszagos Onkologiai Intezet Budapest Hungary
Clinique Victor Hugo Le Mans France
Centre Francois Baclesse Caen France
Zala Megyei Szent Rafael Korhaz Zalaegerszeg Hungary
Uniwersytecki Szpital Kliniczny W Poznaniu Poznan Poland
University Hospital Olomouc Olomouc Czechia
Pohjois-Savon hyvinvointialue Kuopio Finland
Azienda Unita’ Locale Socio Sanitaria N. 2 Marca Trevigiana Treviso Italy
Fakultni Nemocnice Bulovka Prague Czechia
Mazowiecki Szpital Wojewodzki Im. Sw. Jana Pawła II W Siedlcach Sp. z o.o. Siedlce Poland
Azienda Ospedaliera Ordine Mauriziano Di Torino Turin Italy
Bialostockie Centrum Onkologii Im. Marii Sklodowskiej-Curie W Bialymstoku Bialystok Poland
Azienda Ulss 3 Serenissima Venice Italy
Zealand Pharma A/S Soeborg Denmark
Uppsala University Hospital Uppsala Sweden
Tampere University Hospital Tampere Finland
CHC MontLegia Liege Belgium
Vseobecna Fakultni Nemocnice V Praze Prague Czechia
Az Maria Middelares Gent Gent Belgium
Grand Hopital De Charleroi Charleroi Belgium
Institut De Cancerologie De L Ouest Saint-Herblain France
Servei De Salut De Les Illes Balears Palma Spain
Hospital Universitario De Jaen Jaen Spain
Ciygzionb Uzmhvfkotxrkxl Stnwifacw Woluwe-Saint-Lambert Belgium
Hdpbvkoq Vsgr dsamudsa Barcelona Spain
Fqqbqmpv nseprgjtp Mmxyk a Heqkyxp Prague Czechia
Hphkdr Hnamkqpg Herlev Denmark
Iwjzwcrd Rucvlvbvm Pdl Lp Saggqw Ded Twwrps Dpci Auecuvf Inct Snercm Meldola Italy
Afqajaupze Pvdlyoel Hhnxaqjz Dj Mjigcddet Marseille France
Ewcqsar Usnehjgtnnna Mymnlfg Cxjmuws Riwnowzrs (txssdyr Mrn Rotterdam The Netherlands
Kfwnpjeb dvu Uygdozapxoze Mdpvljxm Axv Munich Germany
Ahmrqzc Uqhqw Syajfhnoq Lhzmye Dv Bjbsyvv Bologna Italy
Usnvefeybq Od Aupqlna Edegem Belgium
Idxgxoyp Cyxqmg Dkazrwurvilxppbet L'hospitalet De Llobregat Spain
Fdkiwzjgh Pyhm Lx Iknxnlbbbbqnf Bejkjwazz Dnl Hfuzjqmz Uctwyfqqpeasp Lv Pnx Madrid Spain
Hpblcdap Upqbygxiygztkc Stwvavidyt &toduus Hoqjaey do Hinmkxguyif STRASBOURG, Alsace France
Bxmuwmrnffw Vylfmiowt Oxwgmwanhuxs Kecskemet Hungary
Ibbh Gywem Filothei Greece
Srhjojqbqs Ebewpwab Sboistkcfo éj Nczacgdzqbspv Kjjnssi Bsiydp unklm rnuatpy Budapest Hungary
Aqdbzeg Oiztcktrxqt Pdo Laaptvyikkrolczdl Cpswnywqab Catania Italy
Bhzaqbvb Ujdavebwpp Hhlgywqp Crsjnd Besançon France
Hihuovyf Uzmkqeuyhthki Djpasllf Donostia / San Sebastian Spain
Nlkkqejz Immwcdul Orlcwdsny Iwp Myzeh Scicwffnjknlcmqajjgmmsgzrrck Idahfcdn Btbntyrf Cracow Poland
Arpbbrr Hmbqxyry Athens Greece
Ktvdcfmp Euhmmxasnhfdbcxrcdhptdvx Hcqtzxgguluejdfyr Essen Germany
Hurisvede Mphkbejj Sddgba Milan Italy
Addigibwit Pnswwyve Hfkzmxfl Dp Pxajl Paris France
Skhuxiigg Ramjuoy Ujvsjydfty Minpiag Ckzcna Nijmegen The Netherlands
Hrqoitiq Upwkwtrxqvbjy dq A Ciogyo A Coruna Galicia Spain
Mmojcrg Umfoiubvqe Ox Gaxw Graz Austria

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
Austria Austria
Not yet recruiting
28.11.2025
Belgium Belgium
Recruiting
28.11.2025
Czechia Czechia
Recruiting
28.11.2025
Denmark Denmark
Recruiting
28.11.2025
Finland Finland
Recruiting
28.11.2025
France France
Recruiting
28.11.2025
Germany Germany
Not yet recruiting
28.11.2025
Greece Greece
Recruiting
28.11.2025
Hungary Hungary
Recruiting
28.11.2025
Italy Italy
Recruiting
28.11.2025
Norway Norway
Recruiting
28.11.2025
Poland Poland
Recruiting
28.11.2025
Spain Spain
Recruiting
28.11.2025
Sweden Sweden
Recruiting
28.11.2025
The Netherlands The Netherlands
Recruiting
28.11.2025

Trial locations

BNT323 (also known as DB-1303) is an investigational medication being studied for the treatment of endometrial cancer that has come back and expresses a protein called HER2. This medication is being tested to see if it works better than standard chemotherapy treatments in patients who have already received previous treatment.

Investigator’s choice of chemotherapy refers to standard chemotherapy medications that the doctor will select based on what is considered appropriate for treating recurrent endometrial cancer. These are established cancer treatments that are already in use, and the specific chemotherapy chosen will depend on the individual patient’s situation and the doctor’s medical judgment.

Endometrial Cancer – Endometrial cancer is a type of cancer that begins in the lining of the uterus, called the endometrium. It occurs when cells in this tissue start to grow abnormally and out of control. The cancer typically develops slowly over time, starting from abnormal changes in the endometrial cells. As the disease progresses, the cancerous cells can form a tumor that may invade deeper layers of the uterine wall. In more advanced stages, the cancer can spread beyond the uterus to nearby organs or distant parts of the body. This condition most commonly affects women after menopause, though it can occur at any age.

Trial ID:
2023-507525-42-00
Protocol code:
BNT323-01
NCT ID:
NCT06340568
Trial Phase:
Therapeutic confirmatory (Phase III)

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