About this trial
PM8002 (BNT327) is a bispecific antibody targeting PD-L1 and VEGF. This is a phase II trial to evaluate the efficacy and safety of PM8002 in combination with chemotherapy in first line MSS or MSI-L/pMMR metastatic colorectal cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent form before any trial-related processes.
Age ≥ 18 years male or female.
Histologically or cytologically confirmed metastatic colorectal cancer (stage IV, UICC/AJCC staging system) that is not suitable for or cannot be radically resected surgically.
Participants must not have dMMR or MSI-H.
Disqualifiers
Received palliative local therapy, non-specific immunomodulatory therapy, or chineses herbal therapy with an anti-tumor indication within 14 days prior to study treatment.
Treatment with systemic glucocorticoids (prednisone >10 mg/day or equivalent dose of other glucocorticoids) or other immunosuppressive agents within 14 days prior to initiation of study treatment. Note: treatment with local, intraocular, intra-articular, intranasal, and inhaled glucocorticosteroids and short-term prophylactic use of glucocorticoids (e.g., to prevent allergy to contrast agent) are allowed.
Have a major coagulation disorder or other evidence of significant bleeding risk.
Adverse effects of prior antitumor therapy have not returned to a CTCAE 5.0 grade rating of ≤ grade 1
Trial design
Parallel
Treatments tested in this trial
PM8002
DrugIV infusion
Chemotherapy Regimen 1
DrugIV infusion
Chemotherapy Regimen 2
DrugOral administration and IV infusion
Chemotherapy Regimen 3
DrugIV infusion
Treatment groups
6
Treatment groupsSee each treatment group below.
Trial outcomes
Primary outcomes
Objective response rate (ORR)
Objective response rate is the proportion of subjects with complete response (CR) or partial response (PR), based on RECIST v1.1.
Occurrence and severity of TEAE (treatment emergent adverse event), TRAE(treatment related adverse event), TESAE (treatment emergent serious adverse event), TRSAE (treatment related serious adverse event)
AEs are graded according to Common Terminology Criteria for Adverse Events (CTCAE) V5.0 in the combination treatment regimen.
Secondary outcomes
Duration of response (DoR)
DoR is defined as the duration from the first documentation of objective response to the first documented disease progression (based on RECIST v1.1) or death due to any cause, whichever occurs first.
Disease control rate (DCR)
DCR is defined as the proportion of subjects with CR, PR, or stable disease(SD) based on RECIST v1.1.
Time to response (TTR)
TTR is defined as the time from the start of the treatment to the first objective tumor response observed for patients who achieve CR or PR (based on RECIST v1.1).
Progression free survival (PFS)
Progression free survival is defined as the time from the start of treatment until the first documentation of disease progression or death due to any cause, whichever occurs first (based on RECIST v1.1).
Other outcomes
Pharmacokinetic (PK) parameters: maximum concentration
Maximum plasma concentration \[Cmax\] derived from serum concentrations of PM8002(BNT327) after study drug administration.
Pharmacokinetic (PK) parameters: minimum concentration
Minimum plasma concentration \[Cmin\] derived from serum concentrations of PM8002(BNT327) after study drug administration.
Anti-drug antibody (ADA)
the incidence of ADA to PM8002
PD-L1 expression, CD8+ TIL, gene mutations
PD-L1 expression in tumor and immune cells determined by IHC (immunohistochemistry), rate of CD8+ TIL determined by IHC, gene mutation type (including KRAS/NRAS/BRAF mutation)
Sponsors and contacts
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Biotheus Inc.
Lead sponsor
BioNTech SE
Collaborator