A Phase 1/2 Study of Pumitamig alone or in Combination with Ipilimumab in First-Line HCC

2025-523602-33-00 Protocol CA2660006 Phase I and Phase II (Integrated) - Other Ongoing, recruiting

Start 13 May 2026 · Status Ongoing, recruiting · 5 EU/EEA countries · 16 sites · Protocol CA2660006

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - Other
Status Ongoing, recruiting
Participants planned 129
Countries 5
Sites 16

Advanced or unresectable Hepatocellular Carcinoma (HCC)

The main goal of phase 1 is to see if it is safe for people with liver cancer to take pumitamig with ipilimumab, and to find the best dose to use, while the main goal of phase 2 is to see which treatment works better at shrinking liver cancer: pumitamig with ipilimumab, pumitamig alone, or atezolizumab with bevacizumab…

Key facts

Sponsor
Bristol-Myers Squibb Services Unlimited Company
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
13 May 2026 → ongoing
Decision date (initial)
2026-04-27
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2025-523602-33-00
WHO UTN
U1111-1327-4912

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Others, Pharmacokinetic, Safety, Efficacy, Dose response

The main goal of phase 1 is to see if it is safe for people with liver cancer to take pumitamig with ipilimumab, and to find the best dose to use, while the main goal of phase 2 is to see which treatment works better at shrinking liver cancer: pumitamig with ipilimumab, pumitamig alone, or atezolizumab with bevacizumab.

Secondary objectives 1

  1. Secondary goals are to check how safe the treatments are, how the body handles the medicine, if the body fights against the medicine, and how well each treatment works for liver cancer.

Conditions and MedDRA coding

Advanced or unresectable Hepatocellular Carcinoma (HCC)

VersionLevelCodeTermSystem organ class
21.0 LLT 10019828 Hepatocellular carcinoma non-resectable 10029104

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Age of Participant must be ≥ 18 years of age, or legal adult age according to the local regulation inclusive, at the time of signing the ICF.
  2. People with a certain kind of advanced liver cancer (HCC) that can't be removed by surgery.
  3. People who can still do most everyday things on their own.
  4. People whose liver is working well.
  5. People who haven't had certain treatments for their liver cancer before.
  6. People who have at least one tumor that shows up on a scan.

Exclusion criteria 6

  1. People with rare types of liver cancer.
  2. People who have serious bleeding problems or are likely to bleed easily.
  3. People who have had an organ transplant or have immune system diseases.
  4. People with high blood pressure that can’t be controlled, even with medicine.
  5. People whose urine has too much protein (sign of kidney problems).
  6. People taking strong blood-thinning medicines.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. The main goal of phase 1 will check and count for how many people have problems or serious problems from the medicine, if anyone must stop taking it because of these problems, and if any problems cause death.
  2. The main goal of phase 2 will be to check and count how many people's liver cancer gets much smaller or completely goes away with the treatment (OR (Objective Response) confirmed CR (complete response) or PR (partial response)).

Secondary endpoints 6

  1. To check how many people’s liver cancer gets much smaller or goes away (cancer shrinkage).
  2. To count how many people have problems or serious problems from the medicines, including those who stop treatment or die because of them (safety)
  3. To measure how much pumitamig is in the blood after treatment and before the next dose (pumitamig levels).
  4. To measure how much ipilimumab is in the blood before the next dose (ipilimumab levels).
  5. To see if people’s bodies make fighters against the medicines (anti-drug antibodies).
  6. To see how long people live without the cancer getting worse, and how long the cancer stays smaller or goes away (progression delay (PFS, Progression-Free Survival and duration (DOR, Duration of Response).

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 4

BNT327 50 mg ml

PRD13426963 · Product

Active substance
Pumitamig
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Authorisation status
Not Authorised
MA holder
BIONTECH SE
Paediatric formulation
No
Orphan designation
No

BNT327 20 mg ml

PRD13426964 · Product

Active substance
Pumitamig
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Authorisation status
Not Authorised
MA holder
BIONTECH SE
Paediatric formulation
No
Orphan designation
No

Ipilimumab

SUB29397 · Substance

Active substance
Ipilimumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be removed from the carton, over-labeled, and repackaged. There will be no changes to the composition or to the primary packaging of the marketed products.

Ipilimumab

PRD191357 · Product

Active substance
Ipilimumab
Other product name
MDX-010
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS
Authorisation status
Not Authorised
MA holder
BRISTOL-MYERS SQUIBB INTERNATIONAL CORPORATION
Paediatric formulation
No
Orphan designation
No

Comparator 3

Bevacizumab

SUB16402MIG · Substance

Active substance
Bevacizumab
Pharmaceutical form
CONCENTRATE FOR SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be removed from the carton, over-labeled, and repackaged.

Atezolizumab

SUB178312 · Substance

Active substance
Atezolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENIOUS INFUSION
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be removed from the carton, over-labeled, and repackaged.

Atezolizumab

SUB178312 · Substance

Active substance
Atezolizumab
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
The product will be removed from the carton, over-labeled, and repackaged.

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Bristol-Myers Squibb Services Unlimited Company

Sponsor organisation
Bristol-Myers Squibb Services Unlimited Company
Address
Plaza 254, Blanchardstown Corporate Park 2 Blanchardstown Corporate Park 2
City
Dublin 15
Postcode
D15 T867
Country
Ireland

Scientific contact point

Organisation
Bristol-Myers Squibb Services Unlimited Company
Contact name
GSM-CT

Public contact point

Organisation
Bristol-Myers Squibb Services Unlimited Company
Contact name
GSM-CT

Third parties 6

OrganisationCity, countryDuties
Mural Health Technologies Inc.
ORG-100051510
Berwyn, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States Other
Iqvia Inc.
ORG-100010622
Durham, United States Other
Accenture Solutions Private Limited
ORG-100032592
Bangaluru, India Other
Labcorp Central Laboratory Services SARL
ORG-100011524
Meyrin, Switzerland Other, Laboratory analysis
Accenture Solutions Private Limited
ORG-100032592
Bangaluru, India Other, Data management

Locations

5 EU/EEA countries · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 14 4
Germany Ongoing, recruiting 9 3
Italy Authorised, recruiting 9 3
Poland Authorised, recruitment pending 9 3
Spain Ongoing, recruiting 6 3
Rest of world
China, United Kingdom, Taiwan, Singapore, Korea, Democratic People's Republic of, United States, Australia, Chile
82

Investigational sites

France

4 sites · Ongoing, recruiting
Centre Hospitalier Universitaire De Bordeaux
Digestive Oncology, Avenue De Magellan, 33600, Pessac
Centre Hospitalier Universitaire Grenoble Alpes
HepartoGastroentérologie, Boulevard De La Chantourne, Cs 10217, Grenoble Cedex 9
Assistance Publique Hopitaux De Paris
Hépatology, 125 Rue De Stalingrad, 93009, Bobigny Cedex
Centre Hospitalier Universitaire De Saint Etienne
Service d'Hépato-Gastroentérologie et d'Oncologie Digestive, Avenue Albert Raimond, 42270, Saint Priest En Jarez

Germany

3 sites · Ongoing, recruiting
Goethe University Frankfurt
Department of Internal Medicine 1, Theodor-Stern-Kai 7, 60590, Frankfurt Am Main
Universitaetsklinikum Schleswig-Holstein AöR
Medical Clinic 1, Ratzeburger Allee 160, 23538, Luebeck
Universitaetsklinikum Koeln AöR
Department of Gastroenterology and Hepatology, Kerpener Strasse 62, Lindenthal, Cologne

Italy

3 sites · Authorised, recruiting
Humanitas Mirasole S.p.A.
Operative unit of Oncology and Hematology, Via Alessandro Manzoni 56, 20089, Rozzano
Azienda Ospedaliero Universitaria Pisana
U.O. Oncologia Medica 2, Via Roma 67, 56126, Pisa
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Oncologia Medica, Via Piero Maroncelli 40, 47014, Meldola

Poland

3 sites · Authorised, recruitment pending
Dolnoslaskie Centrum Onkologii Pulmonologii I Hematologii
Osrodek Badan Klinicznych Wczesnych Faz, Pl. Ludwika Hirszfelda 12, 53-413, Wroclaw
Uniwersyteckie Centrum Kliniczne
Centrum Wsparcia Badan Klinicznych Osrodek Badan Klinicznych Wczesnych Faz, Ul. Mariana Smoluchowskiego 17, 80-214, Gdansk
Mtz Clinical Research Powered By Pratia
n/a, Ul. Gładka 22, 02-172, Warsaw

Spain

3 sites · Ongoing, recruiting
Clinica Universidad De Navarra
Liver Unit, Pio XII Etorbidea 36, 31008, Pamplona
Hospital General Universitario Gregorio Maranon
Gastroenterology, Calle Del Doctor Esquerdo 46, 28009, Madrid
Clinica Universidad De Navarra
Liver Unit, Calle Marquesado De Santa Marta 1, 28027, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2026-05-13 2026-05-19
Germany 2026-05-13 2026-05-20
Italy 2026-05-14
Spain 2026-05-13 2026-05-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 38 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2025-523602-33_redacted 02 EU
Recruitment arrangements (for publication) K Recruitment arrangement_PL 2.0
Recruitment arrangements (for publication) K1_ Recruitment arrangements_ES 1
Recruitment arrangements (for publication) K1_DE_Recruitment arrangements_ 1
Recruitment arrangements (for publication) K1_Recruitment and Informed consent procedure_FR 1
Recruitment arrangements (for publication) K1_Recruitment arrangements_IT 1
Subject information and informed consent form (for publication) L1_ ICF Main_GER_DE_redacted 1
Subject information and informed consent form (for publication) L1_ SIS and ICF_Future Research ICF_ES 2
Subject information and informed consent form (for publication) L1_ SIS and ICF_Main ICF_ES 4
Subject information and informed consent form (for publication) L1_ SIS and ICF_Optional Sample Collection ICF_ES 1
Subject information and informed consent form (for publication) L1_ SIS and ICF_Pregnant Partner ICF_ES 1
Subject information and informed consent form (for publication) L1_ SIS and ICF_Treatment Beyond Progression ICF_ES 1
Subject information and informed consent form (for publication) L1_ICF FR_GER_DE_redacted 1
Subject information and informed consent form (for publication) L1_ICF opt sample_GER_DE_redacted 1
Subject information and informed consent form (for publication) L1_ICF TBP_GER_DE_unredacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF Future Research_PL_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_FR_Redacted 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF Main_PL_Redacted 1.2
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Future Research_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Samples Collection_FR_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Optional Samples_PL_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Participant who Becomes Pregnant_PL_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment Beyond Progression_FR 1
Subject information and informed consent form (for publication) L1_SIS and ICF Treatment Beyond Progression_PL 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main IC_IT_Redacted 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Future Research IC_IT_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Optional Sample Collection IC_IT_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Pregnant Participant IC_IT_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Privacy notice_IT_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Reimbursement IC_IT_Redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Treatment Beyond Progression IC_IT 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Bevacizumab 65
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Atezolizumab 32
Synopsis of the protocol (for publication) D1_Protocol synopsis 2025-523602-33-00_PL 2
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-523602-33_EN 2
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-523602-33_IT 2
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-523602-33-00_ESP 2
Synopsis of the protocol (for publication) D1_Protocol synopsis_2025-523602-33-00_FR 2

Application history

4 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-12-12 Spain Acceptable
2026-04-20
2026-04-22
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-04-27 Acceptable
2026-04-20
2026-04-27
3 NON SUBSTANTIAL MODIFICATION NSM-2 2026-04-27 Acceptable
2026-04-20
2026-04-27
4 NON SUBSTANTIAL MODIFICATION NSM-3 2026-04-30 Acceptable
2026-04-20
2026-04-30