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

Last updated: July 7, 2025
Sponsor: Marengo Therapeutics, Inc.
Overall Status: Active - Recruiting

Phase

1/2

Condition

Carcinoma

Neoplasms

Urologic Cancer

Treatment

STAR0602

Clinical Study ID

NCT05592626
CP-START-001
  • Ages > 18
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Participants must have histologically confirmed solid tumors that are unresectable,locally advanced, or metastatic and for which standard curative therapies do notexist or are no longer effective or have intolerable toxicities. Subjects should nothave received more than three lines of prior therapies for their advanced ormetastatic diseases.

  2. For Phase 1, participants must have one of the following solid tumors:

  3. High mutational burden (TMB-H)

  4. Microsatellite Instability (MSI-H)/DNA mismatch repair (dMMR)

  5. Virally associated tumors

  6. For Phase 2, participants must have one of the following solid tumors:

  7. TMB-H

  8. MSI-H/dMMR

  9. CRC (both Ras wild type and mutant)

  10. Virally associated tumors

  11. Metastatic triple negative breast cancer

  12. Platinum-resistant epithelial ovarian cancer

  13. Metastatic castration-resistance prostate cancer

  14. Primary stage IV or recurrent non-small cell lung cancer

  15. Immunogenic solid tumors

(Other tumor histologies may also be included in Phase 2 as additional data emergeto support their inclusion.)

  1. Symptomatic central nervous system (CNS) metastases must have been treated, beasymptomatic 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

Exclusion Criteria:

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

  • Psoriasis, atopic dermatitis or other autoimmune skin condition not requiringsystemic treatment;

  • History of Graves' disease, now euthyroid for > 4 weeks;

  • Hypothyroidism managed by thyroid replacement;

  • Alopecia;

  • Arthritis managed without systemic therapy beyond oral nonsteroidalanti-inflammatory drugs.

  • Adrenal insufficiency well controlled on replacement therapy.

  1. Major surgery or traumatic injury within 8 weeks before first dose of study drug.

  2. Unhealed wounds from surgery or injury.

  3. Treatment with >10 mg per day of prednisone (or equivalent) or otherimmune-suppressive drugs within 7 days prior to the initiation of study drug.Exceptions may be made for patients who have had allergic reaction to iodinatedcontrast media. Steroids for topical, ophthalmic, inhaled, or nasal administrationare allowed.

  4. Clinically significant cardiovascular/vascular disease, gastrointestinal disorders,inflammatory processes, pulmonary compromises

  5. Active viral, bacterial, or systemic fungal infection requiring parenteral treatmentwithin 7 days prior to the initiation of study drug.

  6. Vaccination with any live virus vaccine within 4 weeks prior to the initiation ofstudy drug administration. Inactivated annual influenza vaccination is allowed.

  7. Participants who are known to be human immunodeficiency virus positive or hepatitisB or C positive and have uncontrolled disease.

  8. Second primary invasive malignancy not in remission for ≥ 1 year. Exceptions includenon-melanoma locally advanced skin cancer, cervical carcinoma in situ, localizedprostate cancer (Gleason score ≤ 7), resected melanoma in situ, or any malignancyconsidered to be indolent and never required systemic therapy, with the exception ofindolent lymphomas.

  9. Pregnant, likely to become pregnant, or lactating women (where pregnancy is definedas the state of a female after conception and until the termination of gestation).

  10. Hepatic metastases unless adequately treated, either locally (e.g., by surgery,radiofrequency ablation, or chemoembolization) or systemically or both, and stablefor 3 months.

Study Design

Total Participants: 365
Treatment Group(s): 1
Primary Treatment: STAR0602
Phase: 1/2
Study Start date:
January 04, 2023
Estimated Completion Date:
October 31, 2026

Study Description

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).

Connect with a study center

  • Princess Margaret Cancer Centre

    Toronto, Ontario M5G 2C4
    Canada

    Active - Recruiting

  • Research Institute of McGill University Health Centre

    Montreal, Quebec H3H 2R9
    Canada

    Active - Recruiting

  • Institut Bergonié

    Bordeaux, 33076
    France

    Active - Recruiting

  • Centre Leon Berard

    Lyon, 69373
    France

    Active - Recruiting

  • Hopsital Institut Curie

    Paris, 75248
    France

    Active - Recruiting

  • Oncopole Claudius Regaud IUCT

    Toulouse, 31100
    France

    Active - Recruiting

  • Institute Gustave Roussy

    Villejuif, 94800
    France

    Active - Recruiting

  • Vall d'Hebron Institute of Oncology

    Barcelona, Cataluna 08035
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra

    San Blas-Canillejas, Madrid 28027
    Spain

    Active - Recruiting

  • NEXT Oncology Barcelona, Hospital Quirónsalud Barcelona

    Barcelona, 08023
    Spain

    Active - Recruiting

  • Hospital Universitario Quirónsalud Madrid

    Madrid, 28223
    Spain

    Active - Recruiting

  • START Madrid FJD

    Madrid, 28040
    Spain

    Active - Recruiting

  • Clinica Universidad de Navarra

    Pamplona, 31008
    Spain

    Active - Recruiting

  • Instituto de Investigacion Sanitaria, INCLIVA

    Valencia, 46010
    Spain

    Active - Recruiting

  • Loma Linda University Cancer Center

    Loma Linda, California 92354
    United States

    Active - Recruiting

  • UC Davis Comprehensive Cancer Center

    Sacramento, California 95817
    United States

    Active - Recruiting

  • Sarah Cannon Research Institute at HealthONE

    Denver, Colorado 80218
    United States

    Active - Recruiting

  • AdventHealth Celebration

    Celebration, Florida 34747
    United States

    Active - Recruiting

  • University of Miami Sylvester Comprehensive Cancer Center

    Miami, Florida 33136
    United States

    Active - Recruiting

  • The University of Kansas Cancer Center

    Kansas City, Kansas 66160
    United States

    Active - Recruiting

  • National Institutes of Health

    Bethesda, Maryland 20892
    United States

    Active - Recruiting

  • Dana-Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Massachusetts General Hospital Cancer Center

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Karmanos Cancer Institute

    Detroit, Michigan 48201
    United States

    Active - Recruiting

  • Memorial Sloan-Kettering Cancer Center

    New York, New York 10065
    United States

    Active - Recruiting

  • The Ohio State University Comprehensive Cancer Center

    Columbus, Ohio 43210
    United States

    Active - Recruiting

  • University of Oklahoma Health Sciences, Stephenson Cancer Center

    Oklahoma City, Oklahoma 73104
    United States

    Active - Recruiting

  • Sarah Cannon Research Institute Oncology Partners (SCRI-Nashville)

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • The University of Texas, MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • UT Health Mays Cancer Center

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • Fred Hutchinson Cancer Center

    Seattle, Washington 98109
    United States

    Active - Recruiting

  • University of Wisconsin- Madison

    Madison, Wisconsin 53792
    United States

    Active - Recruiting

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