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A Phase III Trial of BNT324 Versus Docetaxel in Metastatic Castration-resistant Prostate Cancer

RecruitingPhase 3

A Phase III, Randomized, Open-label Trial of BNT324 Versus Docetaxel With Prednisone/Prednisolone in Metastatic Castration-resistant Prostate Cancer

Who can join

Ages 18 and older · Men

Full eligibility criteria
Key Inclusion Criteria:

* Are male adults (defined as ≥18 years of age or of an acceptable age according to local regulations at the time of giving informed consent).
* Must have documented progressive prostate cancer based on at least one of the following criteria:

  * Serum/plasma PSA progression, by local laboratory, defined as two consecutive increases in PSA over a previous reference value, each measured sequentially at least 1 week apart. The PSA value at screening is required to be ≥1.0 ng/mL.
  * Radiographic soft tissue progression as per PCWG3-modified RECIST v1.1.
  * Radiographic progression of bone disease: evaluable disease or new bone lesion(s) by bone scan per PCWG3 criteria.
* Had previously received one or two prior androgen receptor pathway inhibitor treatments and experienced disease progression during or after a minimum of 8 weeks of therapy.
* Must not have received systemic cytotoxic chemotherapy, including taxane-based chemotherapy, for mCRPC.
* Must have had prior orchiectomy and/or have ongoing androgen-deprivation therapy and a castrate-level of serum/plasma testosterone (\<50 ng/dL or \<1.7 nmol/L). Participant being treated with luteinizing hormone-releasing hormone agonists or antagonists must continue such treatment throughout the study.
* Must have an Eastern Cooperative Oncology Group performance score of 0 or 1.

Key Exclusion Criteria:

* Have received prior treatment with B7-H3 targeted therapy, including B7-H3 ADCs.
* Have uncontrolled or significant cardiovascular disease, as defined in the protocol.
* Have a history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids or have current ILD/pneumonitis.

NOTE: Other protocol defined Inclusion/Exclusion criteria apply.

About the study

This study will test whether BNT324 is safe and works better against metastatic castration-resistant prostate cancer (mCRPC) than the current standard of care (SoC) chemotherapy, which is docetaxel (given together with the steroid medicines prednisone or prednisolone). The study will include participants with mCRPC that have been previously treated with androgen receptor pathway inhibitor, but with no previous taxane-based systematic chemotherapy for mCRPC.

The main goals of this study are:

* To find out if BNT324 helps participants live longer without their cancer getting worse (radiographic progression-free survival \[rPFS\]). * To find out if BNT324 helps participants live longer overall (overall survival \[OS\]).

What is being tested

Sponsor: BioNTech SE · Participants: 736 · Started: Apr 22, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07365995

Locations in the U.S.

CaliforniaSansum Clinic, Santa Barbara
ColoradoRocky Mountain Cancer Centers, Aurora
FloridaFlorida Cancer Specialists- Fort Myers, Fort Myers
Florida Cancer Specialists- St. Petersburg, St. Petersburg
Florida Cancer Specialists- West Palm Beach, West Palm Beach
IllinoisIllinois Cancer Specialists, Niles
Illinois CancerCare PC, Peoria
MarylandMaryland Oncology Hematology, Rockville
New YorkWhite Plains Hospital, White Plains
OhioOncology/Hematology Care, Inc., Cincinnati
TennesseeSCRI Oncology Partners, Nashville
TexasTexas Oncology South Austin, Austin
Texas Oncology Gulf Coast, Houston
Texas Oncology, P.A. - Tyler, Tyler
Texas Oncology - West Texas, Wichita Falls
VirginiaVirginia Cancer Specialists PC, Fairfax
Virginia Oncology Associates, Norfolk

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.