ClinicalTrials.gg
CompletedNCT05323045Updated Jul 9, 2025

A First-in-human Dose-escalation and Expansion Study With the Antibody-drug Conjugate BYON3521

A Phase 1 interventional study of BYON3521 in Solid Tumor, sponsored by Byondis B.V.. Completed at 4 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-09.

Sponsored by Byondis B.V. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
31
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is the first-in-human trial with BYON3521, an antibody-drug conjugate (ADC) comprising a humanized IgG1 monoclonal antibody directed against the c-MET receptor covalently conjugated to a duocarmycin-containing linker-drug.

Read the detailed description

This trial includes a dose-escalation part (Part 1) in which the MTD and RDE will be determined, and an expansion part (Part 2) to evaluate efficacy and safety in specific patient cohorts.

BYON3521 is an ADC comprising a humanized IgG1 monoclonal antibody (mAb) directed against the c-MET receptor covalently and site-specifically conjugated to a duocarmycin-containing linkerdrug.

02

Conditions studied

  • Solid Tumor

Keywords

  • ADC
  • c-MET
  • solid tumors
03

In context

Lead sponsor

Byondis B.V. is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patient with -confirmed, locally advanced or cancer who has progressed on standard therapy or for whom no standard therapy exists:
  • Part 1 (dose-escalation): solid tumours of any origin;
  • Part 2 (expansion):

    • Cohort A: Non-squamous non small cell lung cancer (non-squamous NSCLC);
    • Cohort B: Gynaecological cancers: ovarian cancer, endometrial cancer, cervical cancer;
    • Cohort C: Pancreatic adenocarcinoma (PA);
    • Cohort D: Uveal melanoma (UM).
  • c-MET prevalence confirmed by:
  • Part 1: Tumour c-MET positive membrane staining by immunohistochemistry (IHC) and/or MET amplification by dual In Situ Hybridization (dISH) and/or known MET-mutation;
  • Part 2: Tumour c-MET membrane expression by immunohistochemistry (IHC score ≥ 2+) as determined by the central laboratory on most recent available/obtained tumour material from a site not previously irradiated;
  • (ECOG) performance status ≤ 1;
  • Adequate organ function

Exclusion criteria

Exclusion Criteria:

  • Having been treated with:
  • Trastuzumab duocarmazine (SYD985) at any time;
  • Other anticancer therapy within 4 weeks or as defined in the protocol;
  • History or presence of keratitis, glomerulonephritis, idiopathic pulmonary fibrosis, organizing pneumonia (e.g. bronchiolitis obliterans), drug-induced or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest CT scan;
  • History (within 6 months prior to start IMP) or presence of cardiovascular disease such as unstable angina, congestive heart failure, myocardial infarction, uncontrolled hypertension, or cardiac arrhythmia requiring medication;
  • Symptomatic , brain metastases requiring or treatment for brain metastases within 8 weeks
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    BYON3521

    c-MET targeting Antibody-Drug Conjugate

    Drug: BYON3521

Interventions

  • DrugBYON3521

    BYON3521 (in the vein) infusion every three weeks. Number of cycles: until cancer progression or unacceptable toxicity develops. Different doses.

06

What researchers measure

Primary outcomes

  1. Incidence of dose-limiting toxicities

    Part 1

    Time frame: 21 days

Secondary outcomes

  1. Objective response rate

    Part 2

    Time frame: 21 days

07

Study locations

4 sites
  • Institut Jules Bordet
    Brussels, Belgium
  • Istituto Europeo di Oncologia
    Milan, 1070, Italy
  • Radboud
    Nijmegen, 6500HB, Netherlands
  • Royal Marsden
    London, SM2 5PT, United Kingdom
08

References and documents

Publications

  • Groothuis PG, Jacobs DCH, Hermens IAT, Damming D, Berentsen K, Mattaar-Hepp E, Stokman MEM, Boekel TV, Rouwette M, van der Vleuten MAJ, Sesink A, Dijcks FA, Coumans RGE, Schouten J, Glaudemans DH, Wijk DV, Blomenrohr M, Kappers WA, Ubink R, van der Lee MMC, Dokter WHA. Preclinical Profile of BYON3521 Predicts an Effective and Safe MET Antibody-Drug Conjugate. Mol Cancer Ther. 2023 Jun 1;22(6):765-777. doi: 10.1158/1535-7163.MCT-22-0596. PubMed 37042205 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2022 to primary completion in Mar 2024, 23 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 25, 2022
First posted
Apr 12, 2022
StartActual
Mar 21, 2022
Primary completionActual
Mar 4, 2024
CompletionActual
Sep 25, 2024
Last update
Jul 9, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05323045
Lead sponsor
Byondis B.V.
Responsible party
Sponsor
First posted
Apr 12, 2022
Start date
Mar 21, 2022
Primary completion
Mar 4, 2024
Completion
Sep 25, 2024
Last update
Jul 9, 2025

Study contacts

Tanya Vermaas
study director · Byondis B.V., The Netherlands

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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