A Study of a Selective T Cell Receptor (TCR) Targeting, Bifunctional Antibody-fusion Molecule STAR0602 in Participants With Advanced Solid Tumors

NCT ID: NCT05592626

Last Updated: 2025-07-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

365 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-04

Study Completion Date

2026-10-31

Brief Summary

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This is an open label, multicenter, phase 1/2 study to assess the safety/tolerability and preliminary clinical activity of STAR0602 as a single agent administered intravenously in participants with advanced solid tumors that are antigen-rich.

Detailed Description

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This Phase 1/2 study consists of two parts: Phase 1 Dose Escalation and Phase 2 Dose Expansion. In Phase 1 Dose Escalation, STAR0602 will be administered intravenously in participants with advanced solid tumors to assess safety/tolerability profile of STAR0602 and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of STAR0602. In Phase 2 Dose Expansion, STAR0602 at RP2D will be administered to participants with advanced, antigen-rich solid tumors to further evaluate safety and assess preliminary clinical activity of STAR0602. Clinical activity will be evaluated by objective tumor response rate (ORR), duration of response (DOR), disease control rate (DCR), and progression free survival (PFS).

Conditions

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Advanced Solid Tumors Genital Neoplasm, Female Urogenital Neoplasms Lung Neoplasm Neoplasms by Site Papillomavirus Infection Epstein-Barr Virus Infections Carcinoma Neoplasms Vulvar Neoplasms Vulvar Diseases Abdominal Neoplasm

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1: Advanced Solid Tumors

Dose Escalation; Intervention: Drug: STAR0602

Group Type EXPERIMENTAL

STAR0602

Intervention Type DRUG

solution, intravenous infusion

Phase 2: Advanced Solid Tumors

Dose Expansion; Recommended Phase 2 Dose (RP2D) identified from Phase 1 will be used in Phase 2; Intervention: Drug: STAR0602

Group Type EXPERIMENTAL

STAR0602

Intervention Type DRUG

solution, intravenous infusion

Interventions

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STAR0602

solution, intravenous infusion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Participants must have histologically confirmed solid tumors that are unresectable, locally advanced, or metastatic and for which standard curative therapies do not exist or are no longer effective or have intolerable toxicities. Subjects should not have received more than three lines of prior therapies for their advanced or metastatic diseases.
2. For Phase 1, participants must have one of the following solid tumors:

1. High mutational burden (TMB-H)
2. Microsatellite Instability (MSI-H)/DNA mismatch repair (dMMR)
3. Virally associated tumors
3. For Phase 2, participants must have one of the following solid tumors:

1. TMB-H
2. MSI-H/dMMR
3. CRC (both Ras wild type and mutant)
4. Virally associated tumors
5. Metastatic triple negative breast cancer
6. Platinum-resistant epithelial ovarian cancer
7. Metastatic castration-resistance prostate cancer
8. Primary stage IV or recurrent non-small cell lung cancer
9. Immunogenic solid tumors

(Other tumor histologies may also be included in Phase 2 as additional data emerge to support their inclusion.)
4. Symptomatic central nervous system (CNS) metastases must have been treated, be asymptomatic for ≥ 14 days, and meet the following at the time of enrollment:

* No concurrent treatment for CNS disease (e.g., surgery, radiation, corticosteroids \> 10 mg prednisone/day or equivalent);
* No concurrent leptomeningeal disease or cord compression.

Exclusion Criteria

1. Participants with a history of known autoimmune disease with exceptions of:

* Vitiligo;
* Psoriasis, atopic dermatitis or other autoimmune skin condition not requiring systemic treatment;
* History of Graves' disease, now euthyroid for \> 4 weeks;
* Hypothyroidism managed by thyroid replacement;
* Alopecia;
* Arthritis managed without systemic therapy beyond oral nonsteroidal anti-inflammatory drugs.
* Adrenal insufficiency well controlled on replacement therapy.
2. Major surgery or traumatic injury within 8 weeks before first dose of study drug.
3. Unhealed wounds from surgery or injury.
4. Treatment with \>10 mg per day of prednisone (or equivalent) or other immune-suppressive drugs within 7 days prior to the initiation of study drug. Exceptions may be made for patients who have had allergic reaction to iodinated contrast media. Steroids for topical, ophthalmic, inhaled, or nasal administration are allowed.
5. Clinically significant cardiovascular/vascular disease, gastrointestinal disorders, inflammatory processes, pulmonary compromises
6. Active viral, bacterial, or systemic fungal infection requiring parenteral treatment within 7 days prior to the initiation of study drug.
7. Vaccination with any live virus vaccine within 4 weeks prior to the initiation of study drug administration. Inactivated annual influenza vaccination is allowed.
8. Participants who are known to be human immunodeficiency virus positive or hepatitis B or C positive and have uncontrolled disease.
9. Second primary invasive malignancy not in remission for ≥ 1 year. Exceptions include non-melanoma locally advanced skin cancer, cervical carcinoma in situ, localized prostate cancer (Gleason score ≤ 7), resected melanoma in situ, or any malignancy considered to be indolent and never required systemic therapy, with the exception of indolent lymphomas.
10. Pregnant, likely to become pregnant, or lactating women (where pregnancy is defined as the state of a female after conception and until the termination of gestation).
11. Hepatic metastases unless adequately treated, either locally (e.g., by surgery, radiofrequency ablation, or chemoembolization) or systemically or both, and stable for 3 months.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Marengo Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Loma Linda University Cancer Center

Loma Linda, California, United States

Site Status RECRUITING

UC Davis Comprehensive Cancer Center

Sacramento, California, United States

Site Status RECRUITING

Sarah Cannon Research Institute at HealthONE

Denver, Colorado, United States

Site Status RECRUITING

AdventHealth Celebration

Celebration, Florida, United States

Site Status RECRUITING

University of Miami Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status RECRUITING

The University of Kansas Cancer Center

Kansas City, Kansas, United States

Site Status RECRUITING

National Institutes of Health

Bethesda, Maryland, United States

Site Status RECRUITING

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, United States

Site Status RECRUITING

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status RECRUITING

Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status RECRUITING

University of Oklahoma Health Sciences, Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Sarah Cannon Research Institute Oncology Partners (SCRI-Nashville)

Nashville, Tennessee, United States

Site Status RECRUITING

The University of Texas, MD Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

UT Health Mays Cancer Center

San Antonio, Texas, United States

Site Status RECRUITING

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Site Status RECRUITING

University of Wisconsin- Madison

Madison, Wisconsin, United States

Site Status RECRUITING

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status RECRUITING

Research Institute of McGill University Health Centre

Montreal, Quebec, Canada

Site Status RECRUITING

Hopsital Institut Curie

Paris, France, France

Site Status RECRUITING

Oncopole Claudius Regaud IUCT

Toulouse, France, France

Site Status RECRUITING

Institut Bergonié

Bordeaux, , France

Site Status RECRUITING

Centre Leon Berard

Lyon, , France

Site Status RECRUITING

Institute Gustave Roussy

Villejuif, , France

Site Status RECRUITING

Vall d'Hebron Institute of Oncology

Barcelona, Catalonia, Spain

Site Status RECRUITING

Clinica Universidad de Navarra

San Blas-Canillejas, Madrid, Spain

Site Status RECRUITING

Hospital Universitario Quirónsalud Madrid

Madrid, Spain, Spain

Site Status RECRUITING

NEXT Oncology Barcelona, Hospital Quirónsalud Barcelona

Barcelona, , Spain

Site Status RECRUITING

START Madrid FJD

Madrid, , Spain

Site Status RECRUITING

Clinica Universidad de Navarra

Pamplona, , Spain

Site Status RECRUITING

Instituto de Investigacion Sanitaria, INCLIVA

Valencia, , Spain

Site Status RECRUITING

Countries

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United States Canada France Spain

Central Contacts

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Ke Liu, MD, PhD

Role: CONTACT

+1 (617) 917-4980

Facility Contacts

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John Shin, MD

Role: primary

Kenya Gomez

Role: primary

Julia Etchart

Role: primary

Guru Sonpavde, MD

Role: primary

407 303 2024

Marijo Billusic, MD

Role: primary

307-243-1543

Weijing Sun, MD

Role: primary

Victoria Jeffers

Role: primary

240-858-3783

Ryan Sullivan, MD

Role: primary

(617) 643-3614

Joanne Charles

Role: primary

617-632-6571

Victoria LaBush

Role: primary

313-576-8411

Luisa Belfoiore

Role: primary

(646) 888-4247

Kai He, MD

Role: primary

6143664139

Amanda Anundson

Role: primary

Ethan Trull

Role: primary

Ming Sun

Role: primary

Sheniell Granato

Role: primary

210-450-1950

Ariana Dumenigo Jimenez

Role: primary

Joe Lograsso

Role: backup

Vincent Ma, MD

Role: primary

Lillian Siu, MD

Role: primary

416-946-2911

Ramy Saleh, MD

Role: primary

Lucas Frezouls

Role: primary

Carlos Gomez-Roca, MD

Role: primary

Audrey Laroche-Clary

Role: primary

+33 (0)5 56 33 04 33

Severine Laurent

Role: primary

Romain Di-Vincenzo

Role: primary

+33 1 42 11 58 31

Gemma Mur

Role: primary

(+34) 932 54 34 50 ext. 8974

Eduardo Castañon, MD

Role: primary

Micaela Belén Acosta

Role: primary

919499716

Omar Saavedra, MD

Role: primary

Manuel Pedregal

Role: primary

+34 91 550 48 00 ext. Ext: 2805

Eduardo Castañon, MD

Role: primary

Susanna Roselló, MD

Role: primary

Other Identifiers

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CP-START-001

Identifier Type: -

Identifier Source: org_study_id

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