BioNTech's RNA cancer therapy trial halted early
NCT ID NCT05262530
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested an experimental RNA-based therapy called BNT142 in people with advanced solid tumors that have a specific protein called CLDN6. The goal was to see if it was safe and could shrink tumors. However, the trial was terminated early, so we don't have clear answers about whether it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BNT142 (an experimental RNA-based therapy)
- What this could lead to
- If it had worked, this could have pointed toward a new treatment option for certain advanced solid tumors that express the CLDN6 protein.
- What could go wrong
- The trial was terminated early, so we don't know if BNT142 is safe or effective. It was a very early study (Phase 1/2a) with only 73 participants, so even positive results would need much more testing.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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73 people
The number who actually took part.
- Started
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Mar 2022
- Finished
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Dec 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: NOTE: Other protocol defined Inclusion/Exclusion criteria may apply. For Part 1 and 2: * Histological or cytological documentation of a malignant solid tumor (via a pathology report) that is metastatic or unresectable. * CLDN6-positive tumor sample as assessed by central laboratory testing using a validated immunohistochemistry assay in formalin-fixed paraffin-embedded neoplastic tissues or alternatively from fresh tissue if archival tissue is unavailable. If archival tissue samples from several points of time are available, the most recent one is preferred. * Measurable disease per RECIST 1.1 (measurable per RECIST 1.1 or evaluable per GCIG criteria for ovarian tumors). For Part 1 (Dose escalation): * Patients with advanced/metastatic ovarian (including fallopian tube and peritoneal), non-squamous NSCLC, endometrial, or testicular cancer, for whom there is no available standard therapy likely to confer clinical benefit, or the patient is not a candidate for such available therapy, or patients with not otherwise specified tumors (as confirmed by histological diagnosis), rare tumors (defined as those occurring in \<15 out of 100,000 people each year as per National Cancer Institute guidelines) and cancers of unknown primary, not included in the pre-defined eligible tumor types (the last three upon approval by the medical monitor). Patients must have received all available standard therapies, including targeted therapies based on mutation status (per guidelines from the United States Food and Drug Administration \[FDA\], American Society of Clinical Oncology, European Society for Medical Oncology or local guidelines used at the site), and failed at least first line standard of care therapy prior to enrollment. Key Exclusion Criteria: * Chemotherapy, or molecularly-targeted agents within 3 weeks or 5 half-lives (whichever is longer) of the start of study treatment; immunotherapy/monoclonal antibodies within 3 weeks of the start of study treatment; nitrosoureas, antibody-drug conjugates, or radioactive isotopes within 6 weeks of the start of study treatment. * Radiotherapy in the last 6 weeks prior to the first dose of BNT142 (excluding brain radiotherapy for which 3 weeks prior to the first dose of BNT142 is allowed). Previously irradiated tumor lesions cannot be considered as target lesions or non-target lesions in this study. * Concurrent systemic (oral or intravenous \[IV\]) steroid therapy \>10 mg prednisone daily or its equivalent for an underlying condition apart from physiologic corticosteroid replacement therapy. * Major surgery within 4 weeks before the first dose of BNT142. * Ongoing or active infection requiring IV treatment with anti-infective therapy that has been administered less than 2 weeks prior to the first dose of BNT142. * Prior treatment with a CLDN6 targeting therapy. * Side effects of any prior therapy or procedures for any medical condition not recovered to National Cancer Institute Common Terminology Criteria for Adverse Events v.5 Grade ≤1, except for anorexia, fatigue, hyperthyroidism, hypothyroidism, and peripheral neuropathy, which must have recovered to Grade ≤2. Alopecia of any grade is allowed. * Current evidence of new or growing brain or leptomeningeal metastases during screening. Patients with known brain metastases may be eligible if they: * Had radiotherapy, surgery or stereotactic surgery for the brain metastases; * Have no neurological symptoms (excluding Grade ≤2 neuropathy); * Have stable brain metastasis on the computer tomography (CT) or magnetic resonance imaging (MRI) scan within 4 weeks before signing the informed consent form; and * Are not undergoing acute corticosteroid therapy or steroid taper. * Notes: Patients with central nervous system symptoms should undergo a CT scan or MRI of the brain to exclude new or progressive brain metastases. Spinal bone metastases are allowed, unless imminent fracture with cord compression is anticipated. * Pregnant or breastfeeding or planning to get pregnant within 6 months of the last dose of BNT142.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cambridge University Hospitals NHS Foundation Trust
Cambridge, CB2 0QQ, United Kingdom
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Churchill Hospital - Oxford University Hospitals NHS Foundation Trust
Oxford, OX3 7LE, United Kingdom
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Duke University Medical Center
Durham, North Carolina, 27705, United States
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HM Nou Delfos General Hospital
Barcelona, 08023, Spain
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Hammersmith Hospital, Imperial College School Of Medicine - Imperial College Healthcare NHS Trust
London, W12 0HS, United Kingdom
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Hospital Universitario 12 de Octubre - Centro de Actividades Ambulatorias
Madrid, 28041, Spain
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Hospital Universitario Vall D'Hebron
Barcelona, 08035, Spain
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Hospital Universitario Virgen de la Victoria Campus Universitario de Teatinos
Málaga, 29010, Spain
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MD Anderson Cancer Center
Madrid, 28033, Spain
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NEXT Virginia
Fairfax, Virginia, 22031, United States
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National University Cancer Institute - National University Hospital
Singapore, 119074, Singapore
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START Madrid CIOCC Hospital Universitario HM Sanchinarro
Madrid, 28050, Spain
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START Madrid-FJD Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040, Spain
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South Texas Accelerated Research Therapeutics (START) - San Antonio
San Antonio, Texas, 78229, United States
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The Clatterbridge Cancer Centre NHS Foundation Trust
Liverpool, L7 8YA, United Kingdom
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The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
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University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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