Clinical trial Recruiting at 16 sites Phase1; Phase2 Interventional Ages 18 and up

Treatment with STAR0602 for advanced solid tumors

Official title: A Phase 1/2, First-in-Human, Open-Label, Dose Escalation and Expansion Study of STAR0602, a Selective T Cell Receptor (TCR) Targeting, Bifunctional Antibody-fusion Molecule, in Subjects With Unresectable, Locally Advanced, or Metastatic Solid Tumors That Are Antigen-rich (START-001)

Run by Marengo Therapeutics, Inc. · NCT05592626 · Data updated 2026-11-12

This study is testing a new treatment called STAR0602 to see if it can help people with advanced solid tumors by looking at how safe it is and how well it works.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment366 (estimated)
SponsorMarengo Therapeutics, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, radiation, prednisone
Locations19 sites (Sacramento, California and 18 other locations)
StatusRecruiting
StartedJanuary 4, 2023
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedAugust 11, 2026
Trial IDNCT05592626 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals with unresectable, locally advanced, or metastatic solid tumors that are antigen-rich and have not responded to standard therapies.

Probably not a fit

Patients with solid tumors that are resectable or for which effective standard therapies exist may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This open-label, multicenter Phase 1/2 study evaluates the safety and preliminary clinical activity of STAR0602, a bifunctional antibody-fusion molecule, administered intravenously to participants with advanced solid tumors that are rich in specific antigens. The study consists of two parts: Phase 1 focuses on dose escalation to determine the maximum tolerated dose, while Phase 2 involves administering the recommended dose to assess safety and clinical activity. Key outcomes include tumor response rates, duration of response, disease control rates, and progression-free survival.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced solid tumors that have limited treatment alternatives.

How similar studies have gone: Other studies utilizing T cell receptor-targeting therapies have shown promise, suggesting potential for success with this novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
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. Participants should not have received more than three regimens of prior therapies for their advanced or metastatic diseases. For Phase 2 Cohorts 8 and 10 (see below), participants should not have received more than one line of prior therapy.
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
   4. Solid tumors generally considered as immunogenic (e.g., melanoma and renal cell carcinoma) are eligible without prior testing for TMB, MSI or viral status after the Sponsor's approval.
3. For Phase 2, participants must have one of the following solid tumors:

   1. TMB-H (not enrolling)
   2. MSI-H/dMMR (not enrolling)
   3. CRC (both Ras wild type and mutant) (not enrolling)
   4. NSCLC (recurrent or Primary Stage 4)
   5. CRC with pMMR/MSS (without TMB-H requirement)

   (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.
5. Subjects who have previously received a CPI (e.g., anti-PD-L1, anti-PD-1, anti CTLA 4) prior to enrollment must have CPI immune-related toxicity resolved to either Grade ≤ 1 or baseline (prior to the CPI) to be eligible for enrollment.

   * Subjects who experienced previous CPI-related endocrine abnormalities are eligible for the study regardless of CTCAE grade if well controlled on replacement therapy.
   * Subjects who have had previous CPI-related Grade 3 to 4 pneumonitis, peri/myocarditis, colitis and bowel perforation, myositis, encephalitis, or peripheral neuropathy will need Sponsor approval.

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. Prior therapy within the following timeframe before planned infusion of STAR0602 as follows:

   * Cytotoxic chemotherapy, small molecule inhibitors, radiation, interventional radiology procedure, or similar investigational therapies within ≤ 2 weeks or participants who have not recovered (i.e., ≤ Grade 1 or to baseline) from AEs due to a previously administered agent;
   * Monoclonal antibodies, antibody-drug conjugates, radioimmunoconjugates, or similar investigational therapies within 6 weeks prior to the initiation of study drug or participants who have not recovered (i.e., ≤ Grade 1 or to baseline) from AEs due to agents administered more than 4 weeks earlier. Note: Participants with ≤ Grade 2 neuropathy or ≤ Grade 2 alopecia are an exception to this criterion and may qualify for the study.
6. Clinically significant cardiovascular/vascular disease, gastrointestinal disorders, inflammatory processes, pulmonary compromises
7. Active viral, bacterial, or systemic fungal infection requiring parenteral treatment within 7 days prior to the initiation of study drug.
8. Vaccination with any live virus vaccine within 4 weeks prior to the initiation of study drug administration. Inactivated annual influenza vaccination is allowed.
9. Participants who are known to be human immunodeficiency virus positive or hepatitis B or C positive and have uncontrolled disease.
10. 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.
11. 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).
12. Hepatic metastases unless adequately treated, either locally (e.g., by surgery, radiofrequency ablation, or chemoembolization) or systemically or both, and stable for 3 months.
13. Bulky disease defined as any lesion ≥ 5 cm in greatest dimension unless approved by the Sponsor.

Where it's running

  • AdventHealth Celebration
    Celebration, Florida, United States
    Recruiting
  • The University of Kansas Cancer Center
    Kansas City, Kansas, United States
    Recruiting
  • National Institutes of Health
    Bethesda, Maryland, United States
    Recruiting
  • Massachusetts General Hospital Cancer Center
    Boston, Massachusetts, United States
    Recruiting
  • Karmanos Cancer Institute
    Detroit, Michigan, United States
    Recruiting
  • The Ohio State University Comprehensive Cancer Center
    Columbus, Ohio, United States
    Recruiting
Show 13 more locations
  • Sarah Cannon Research Institute Oncology Partners (SCRI-Nashville)
    Nashville, Tennessee, United States
    Recruiting
  • The University of Texas, MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • UT Health Mays Cancer Center
    San Antonio, Texas, United States
    Recruiting
  • University of Wisconsin- Madison
    Madison, Wisconsin, United States
    Recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario, Canada
    Recruiting
  • Institute Gustave Roussy
    Villejuif, France
    Recruiting
  • Vall d'Hebron Institute of Oncology
    Barcelona, Catalonia, Spain
    Recruiting
  • Hospital Universitario Quirónsalud Madrid
    Madrid, Spain, Spain
    Recruiting
  • START Madrid FJD
    Madrid, Spain
    Recruiting
  • Instituto de Investigacion Sanitaria, INCLIVA
    Valencia, Spain
    Recruiting
  • UC Davis Comprehensive Cancer Center
    Sacramento, California, United States
    Active not recruiting
  • University of Miami Sylvester Comprehensive Cancer Center
    Miami, Florida, United States
    Active not recruiting
  • Fred Hutchinson Cancer Center
    Seattle, Washington, United States
    Active not recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.