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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.
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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 1: Advanced Solid Tumors | Experimental | Dose Escalation; Intervention: Drug: STAR0602 |
|
| Phase 2: Advanced Solid Tumors | Experimental | Dose Expansion; Recommended Phase 2 Dose (RP2D) identified from Phase 1 will be used in Phase 2; Intervention: Drug: STAR0602 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| STAR0602 | Drug | solution, intravenous infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 (Dose Escalation):Number of Participants with Dose-limiting Toxicities (DLTs) in Cycle 1 | Cycle 1 (Cycle length= 28 days) | |
| Phase 1 and 2 (Dose Escalation and Expansion): Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) | Up to 3 years | |
| Phase 2 (Dose Expansion): Percentage of Participants with Overall Objective Tumor Responses (ORR) | Complete response (CR) and partial response (PR) | Up to 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 and 2 (Dose Escalation and Expansion): Percentage of Participants with ORR | Up to 3 years | |
| Phase 1 and 2 (Dose Escalation and Expansion): Duration of Responses (DOR) | Up to 3 years | |
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Inclusion Criteria:
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.
For Phase 1, participants must have one of the following solid tumors:
For Phase 2, participants must have one of the following solid tumors:
(Other tumor histologies may also be included in Phase 2 as additional data emerge to support their inclusion.)
Symptomatic central nervous system (CNS) metastases must have been treated, be asymptomatic for ≥ 14 days, and meet the following at the time of enrollment:
Exclusion Criteria:
Participants with a history of known autoimmune disease with exceptions of:
Major surgery or traumatic injury within 8 weeks before first dose of study drug.
Unhealed wounds from surgery or injury.
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.
Clinically significant cardiovascular/vascular disease, gastrointestinal disorders, inflammatory processes, pulmonary compromises
Active viral, bacterial, or systemic fungal infection requiring parenteral treatment within 7 days prior to the initiation of study drug.
Vaccination with any live virus vaccine within 4 weeks prior to the initiation of study drug administration. Inactivated annual influenza vaccination is allowed.
Participants who are known to be human immunodeficiency virus positive or hepatitis B or C positive and have uncontrolled disease.
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.
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).
Hepatic metastases unless adequately treated, either locally (e.g., by surgery, radiofrequency ablation, or chemoembolization) or systemically or both, and stable for 3 months.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ke Liu, MD, PhD | Contact | +1 (617) 917-4980 | kliu@marengotx.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Loma Linda University Cancer Center | Recruiting | Loma Linda | California | 92354 | United States |
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| Phase 1 and 2 (Dose Escalation and Expansion): Percentage of Participants with Disease Control (CR, PR, and Stable Disease) |
| Up to 3 years |
| Phase 2 (Dose Expansion): Progression Free Survival (PFS) | Up to 3 years |
| Phase 2 (Dose Expansion): Overall Survival (OS) | Up to 3 years |
| Phase 1 and 2 (Dose Escalation and Expansion): Maximum Observed Plasma Concentration (Cmax) for STAR0602 | Dose Escalation: Cycle 1 and Cycle 6 at predefined intervals up to 1 year; Dose Expansion: Cycle 1, Cycle 3, and Cycle 6 at predefined intervals up to 3 years (Cycle length= 28 days) |
| Phase 1 and 2 (Dose Escalation and Expansion): Time (Tmax) to Reach the Maximum Plasma Concentration (Cmax) for STAR0602 | Dose Escalation: Cycle 1 and Cycle 6 at predefined intervals up to 1 year; Dose Expansion: Cycle 1, Cycle 3, and Cycle 6 at predefined intervals up to 3 years (Cycle length= 28 days) |
| Phase 1 and 2 (Dose Escalation and Expansion): Area Under the Plasma Concentration (AUC) Versus Time Curve for STAR0602 | Dose Escalation: Cycle 1 and Cycle 6 at predefined intervals up to 1 year; Dose Expansion: Cycle 1, Cycle 3, and Cycle 6 at predefined intervals up to 3 years (Cycle length= 28 days) |
| Phase 1 and 2 (Dose Escalation and Expansion): Terminal Elimination Half-life (t1/2) for STAR0602 | Dose Escalation: Cycle 1 and Cycle 6 at predefined intervals up to 1 year; Dose Expansion: Cycle 1, Cycle 3, and Cycle 6 at predefined intervals up to 3 years (Cycle length= 28 days) |
| Phase 1 and 2 (Dose Escalation and Expansion): Apparent Total Body Clearance (CL) for STAR0602 | Dose Escalation: Cycle 1 and Cycle 6 at predefined intervals up to 1 year; Dose Expansion: Cycle 1, Cycle 3, and Cycle 6 at predefined intervals up to 3 years (Cycle length= 28 days) |
| Phase 1 and 2 (Dose Escalation and Expansion): Apparent Volume of Distribution (Vd) for STAR0602 | Dose Escalation: Cycle 1 and Cycle 6 at predefined intervals up to 1 year; Dose Expansion: Cycle 1, Cycle 3, and Cycle 6 at predefined intervals up to 3 years (Cycle length= 28 days) |
| Phase 1 and 2 (Dose Escalation and Expansion): Anti-drug Antibody (ADA) formation | Dose Escalation and Expansion: Day 1 of predetermined cycles up to 3 years (Cycle length= 28 days) |
| UC Davis Comprehensive Cancer Center | Recruiting | Sacramento | California | 95817 | United States |
|
| Sarah Cannon Research Institute at HealthONE | Recruiting | Denver | Colorado | 80218 | United States |
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| AdventHealth Celebration | Recruiting | Celebration | Florida | 34747 | United States |
|
| University of Miami Sylvester Comprehensive Cancer Center | Recruiting | Miami | Florida | 33136 | United States |
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| The University of Kansas Cancer Center | Recruiting | Kansas City | Kansas | 66160 | United States |
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| National Institutes of Health | Recruiting | Bethesda | Maryland | 20892 | United States |
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| Massachusetts General Hospital Cancer Center | Recruiting | Boston | Massachusetts | 02114 | United States |
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| Dana-Farber Cancer Institute | Recruiting | Boston | Massachusetts | 02215 | United States |
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| Karmanos Cancer Institute | Recruiting | Detroit | Michigan | 48201 | United States |
|
| Memorial Sloan-Kettering Cancer Center | Recruiting | New York | New York | 10065 | United States |
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| The Ohio State University Comprehensive Cancer Center | Recruiting | Columbus | Ohio | 43210 | United States |
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| University of Oklahoma Health Sciences, Stephenson Cancer Center | Recruiting | Oklahoma City | Oklahoma | 73104 | United States |
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| Sarah Cannon Research Institute Oncology Partners (SCRI-Nashville) | Recruiting | Nashville | Tennessee | 37203 | United States |
|
| The University of Texas, MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
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| UT Health Mays Cancer Center | Recruiting | San Antonio | Texas | 78229 | United States |
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| Fred Hutchinson Cancer Center | Recruiting | Seattle | Washington | 98109 | United States |
|
| University of Wisconsin- Madison | Recruiting | Madison | Wisconsin | 53792 | United States |
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| Princess Margaret Cancer Centre | Recruiting | Toronto | Ontario | M5G 2C4 | Canada |
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| Research Institute of McGill University Health Centre | Recruiting | Montreal | Quebec | H3H 2R9 | Canada |
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| Hopsital Institut Curie | Recruiting | Paris | France | 75248 | France |
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| Oncopole Claudius Regaud IUCT | Recruiting | Toulouse | France | 31100 | France |
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| Institut Bergonié | Recruiting | Bordeaux | 33076 | France |
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| Centre Leon Berard | Recruiting | Lyon | 69373 | France |
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| Institute Gustave Roussy | Recruiting | Villejuif | 94800 | France |
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| Vall d'Hebron Institute of Oncology | Recruiting | Barcelona | Catalonia | 08035 | Spain |
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| Clinica Universidad de Navarra | Recruiting | San Blas-Canillejas | Madrid | 28027 | Spain |
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| Hospital Universitario Quirónsalud Madrid | Recruiting | Madrid | Spain | 28223 | Spain |
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| NEXT Oncology Barcelona, Hospital Quirónsalud Barcelona | Recruiting | Barcelona | 08023 | Spain |
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| START Madrid FJD | Recruiting | Madrid | 28040 | Spain |
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| Clinica Universidad de Navarra | Recruiting | Pamplona | 31008 | Spain |
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| Instituto de Investigacion Sanitaria, INCLIVA | Recruiting | Valencia | 46010 | Spain |
|
| ID | Term |
|---|---|
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D008175 | Lung Neoplasms |
| D009371 | Neoplasms by Site |
| D030361 | Papillomavirus Infections |
| D020031 | Epstein-Barr Virus Infections |
| D002277 | Carcinoma |
| D009369 | Neoplasms |
| D014846 | Vulvar Neoplasms |
| D014845 | Vulvar Diseases |
| D000008 | Abdominal Neoplasms |
| D053842 | Microsatellite Instability |
| D006258 | Head and Neck Neoplasms |
| D009303 | Nasopharyngeal Neoplasms |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D055752 | Small Cell Lung Carcinoma |
| D001661 | Biliary Tract Neoplasms |
| D008545 | Melanoma |
| D015266 | Carcinoma, Merkel Cell |
| D002280 | Carcinoma, Basal Cell |
| D016889 | Endometrial Neoplasms |
| D015179 | Colorectal Neoplasms |
| D002583 | Uterine Cervical Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D013274 | Stomach Neoplasms |
| D004938 | Esophageal Neoplasms |
| D001749 | Urinary Bladder Neoplasms |
| ID | Term |
|---|---|
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D052801 | Male Urogenital Diseases |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D015229 | Sexually Transmitted Diseases, Viral |
| D012749 | Sexually Transmitted Diseases |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D014412 | Tumor Virus Infections |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006566 | Herpesviridae Infections |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D042822 | Genomic Instability |
| D010610 | Pharyngeal Neoplasms |
| D010039 | Otorhinolaryngologic Neoplasms |
| D009302 | Nasopharyngeal Diseases |
| D010608 | Pharyngeal Diseases |
| D009057 | Stomatognathic Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D004067 | Digestive System Neoplasms |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D027601 | Polyomavirus Infections |
| D018278 | Carcinoma, Neuroendocrine |
| D000230 | Adenocarcinoma |
| D018295 | Neoplasms, Basal Cell |
| D014594 | Uterine Neoplasms |
| D014591 | Uterine Diseases |
| D007414 | Intestinal Neoplasms |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D002577 | Uterine Cervical Diseases |
| D013272 | Stomach Diseases |
| D004935 | Esophageal Diseases |
| D014571 | Urologic Neoplasms |
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
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