ClinicalTrials.gg
RecruitingNCT05592626START-001Updated Aug 11, 2026

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

A Phase 1/2 interventional study of STAR0602 and Irinotecan (Camptosar) in Advanced Solid Tumors, Genital Neoplasm, Female and Urogenital Neoplasms, sponsored by Marengo Therapeutics, Inc.. Recruiting at 19 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-11.

Primary conditionVulvar NeoplasmsRegistry: Genital Neoplasms, FemaleReclassifiedWhy we changed it
Registry
Genital Neoplasms, Female — the first condition term the registry derived for this study.
ClinicalTrials.gg
Vulvar Neoplasms
Why
  1. The study's listed conditions name Vulvar Neoplasms, a narrower term within Genital Neoplasms, Female.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Marengo Therapeutics, Inc. · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Jan 2023; still recruiting 3 years 10 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
366
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

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 and in combination with chemotherapy administered intravenously in participants with advanced solid tumors that are antigen-rich.

Read the detailed 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).

02

Conditions studied

  • 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
  • NSCLC (Non-small Cell Lung Cancer)
  • Colorectal Cancer

Keywords

  • Advanced Solid Tumors
  • STAR0602
  • Intravenous
  • Antineoplastic Agents
  • T Cell Receptor-targeting
  • Bifunctional Antibody-Fusion
  • Specific T Cell Activator
  • Tumor Mutational Burden (TMB) High
  • Microsatellite Instability (MSI) High
  • Virally Associated Malignancies
  • Checkpoint Inhibitor Resistance
  • Immunotherapy
  • Immune Checkpoint Inhibitor Resistance
  • Head and Neck Cancer
  • Nasopharyngeal Cancer
  • Non-small Cell Lung Cancer
  • Small Cell Lung Cancer
  • Biliary Cancer
  • Melanoma
  • Merkel Cell Carcinoma
  • Skin Squamous Cell Carcinoma
  • Skin Basal Cell Carcinoma
  • Endometrial Cancer
  • Colorectal Cancer
  • Small Bowel Cancer
  • Cervical Cancer
  • Gastrointestinal Neoplasms
  • Gastric Cancer
  • Esophageal Cancer
  • Bladder Cancer
03

In context

Vulvar Neoplasms Reclassified

236 studies on the registry are indexed under Vulvar Neoplasms; 69 are open to participants now.

This study's planned enrollment of 366 is above the median of 59 across 168 interventional studies indexed under Vulvar Neoplasms.

Browse Vulvar Neoplasms studies →

Lead sponsor

Marengo Therapeutics, Inc. is the lead sponsor of 2 studies on the registry; 2 are open to participants now.

Compared within Vulvar Neoplasms, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Genital Neoplasms, Female. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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

  1. Participants must have confirmed solid tumors that are unresectable, locally advanced, or 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 .
  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, > 10 mg prednisone/day or equivalent);
    • No concurrent or cord compression.
  5. Subjects who have previously received a CPI (e.g., , 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 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

Exclusion Criteria:

  1. Participants with a history of known 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. 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 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. 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 within 4 weeks prior to the initiation of study drug administration. Inactivated annual influenza vaccination is allowed.
  9. Participants who are known to be positive or or C positive and have uncontrolled disease.
  10. Second primary invasive 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 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.
Terms in these criteria, in plain language(14)

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.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

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.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
366 participants (estimated)

Study arms

  • Experimental
    Phase 1: Advanced Solid Tumors

    Dose Escalation; Intervention: Drug: STAR0602, Invikafusp alfa

    Drug: STAR0602

  • Experimental
    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, Invikafusp alfa

    Drug: STAR0602 · Combination Product: Irinotecan (Camptosar) · Combination Product: Docetaxel (Taxotere)

Interventions

  • solution, intravenous infusion

    Also known as: Invikafusp alfa

  • Combination productIrinotecan (Camptosar)

    solution, intravenous infusion

    Also known as: Camptosar

  • Combination productDocetaxel (Taxotere)

    solution, intravenous infusion

    Also known as: Taxotere

06

What researchers measure

Primary outcomes

  1. Phase 1 (Dose Escalation):Number of Participants with Dose-limiting Toxicities (DLTs) in Cycle 1

    Time frame: Cycle 1 (Cycle length= 28 days)

  2. Phase 1 and 2 (Dose Escalation and Expansion): Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Up to 3 years

  3. Phase 2 (Dose Expansion): Percentage of Participants with Overall Objective Tumor Responses (ORR)

    Complete response (CR) and partial response (PR)

    Time frame: Up to 3 years

Secondary outcomes

  1. Phase 1 and 2 (Dose Escalation and Expansion): Percentage of Participants with ORR

    Time frame: Up to 3 years

  2. Phase 1 and 2 (Dose Escalation and Expansion): Duration of Responses (DOR)

    Time frame: Up to 3 years

  3. Phase 1 and 2 (Dose Escalation and Expansion): Percentage of Participants with Disease Control (CR, PR, and Stable Disease)

    Time frame: Up to 3 years

  4. Phase 2 (Dose Expansion): Progression Free Survival (PFS)

    Time frame: Up to 3 years

  5. Phase 2 (Dose Expansion): Overall Survival (OS)

    Time frame: Up to 3 years

  6. Phase 1 and 2 (Dose Escalation and Expansion): Maximum Observed Plasma Concentration (Cmax) for STAR0602

    Time frame: 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)

  7. Phase 1 and 2 (Dose Escalation and Expansion): Time (Tmax) to Reach the Maximum Plasma Concentration (Cmax) for STAR0602

    Time frame: 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)

  8. Phase 1 and 2 (Dose Escalation and Expansion): Area Under the Plasma Concentration (AUC) Versus Time Curve for STAR0602

    Time frame: 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)

  9. Phase 1 and 2 (Dose Escalation and Expansion): Terminal Elimination Half-life (t1/2) for STAR0602

    Time frame: 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)

  10. Phase 1 and 2 (Dose Escalation and Expansion): Apparent Total Body Clearance (CL) for STAR0602

    Time frame: 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)

  11. Phase 1 and 2 (Dose Escalation and Expansion): Apparent Volume of Distribution (Vd) for STAR0602

    Time frame: 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)

  12. Phase 1 and 2 (Dose Escalation and Expansion): Anti-drug Antibody (ADA) formation

    Time frame: Dose Escalation and Expansion: Day 1 of predetermined cycles up to 3 years (Cycle length= 28 days)

07

Study locations

16 of 19 sites recruiting
  • UC Davis Comprehensive Cancer Center
    Sacramento, California 95817, United States
    Active, not recruiting

    Not enrolling at this site.

  • AdventHealth Celebration
    Celebration, Florida 34747, United States
    Recruiting
    • Guru Sonpavde, MD · Contact407 303 2024
    • Guru Sonpavde, MD · Principal investigator
  • University of Miami Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
    Active, not recruiting

    Not enrolling at this site.

  • The University of Kansas Cancer Center
    Kansas City, Kansas 66160, United States
    Recruiting
    • Weijing Sun, MD · Contactwsun2@kumc.edu
    • Weijing Sun, MD · Principal investigator
  • National Institutes of Health
    Bethesda, Maryland 20892, United States
    Recruiting
  • Massachusetts General Hospital Cancer Center
    Boston, Massachusetts 02114, United States
    Recruiting
    • Ryan Sullivan, MD · Contact(617) 643-3614
    • Ryan Sullivan, MD · Principal investigator
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
    Recruiting
    • Victoria LaBush · Contact313-576-8411
    • Wasif Saif, MD · Principal investigator
  • The Ohio State University Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
    Recruiting
  • Sarah Cannon Research Institute Oncology Partners (SCRI-Nashville)
    Nashville, Tennessee 37203, United States
    Recruiting
  • The University of Texas, MD Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
  • UT Health Mays Cancer Center
    San Antonio, Texas 78229, United States
    Recruiting
    • Sheniell Granato · Contactgranatos@uthscsa.edu · 210-450-1950
    • Sukeshi Patel Arora, MD · Principal investigator
  • Fred Hutchinson Cancer Center
    Seattle, Washington 98109, United States
    Active, not recruiting

    Not enrolling at this site.

  • University of Wisconsin- Madison
    Madison, Wisconsin 53792, United States
    Recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2C4, Canada
    Recruiting
    • Lillian Siu, MD · Contact416-946-2911
    • Lillian Siu, MD · Principal investigator
  • Institute Gustave Roussy
    Villejuif, 94800, France
    Recruiting
    • Romain Di-Vincenzo · Contact+33 1 42 11 58 31
    • Aurelien Marabelle, MD · Principal investigator
  • Vall d'Hebron Institute of Oncology
    Barcelona, Catalonia 08035, Spain
    Recruiting
    • Gemma Mur · Contact(+34) 932 54 34 50
    • Elena Garralda, MD · Principal investigator
  • Hospital Universitario Quirónsalud Madrid
    Madrid, Spain 28223, Spain
    Recruiting
    • Micaela Belén Acosta · Contactmbelen@nextoncology.eu · 919499716
    • Valentina Boni, MD · Principal investigator
  • START Madrid FJD
    Madrid, 28040, Spain
    Recruiting
    • Manuel Pedregal · Contact+34 91 550 48 00
    • Manuel Pedregal, MD · Principal investigator
  • Instituto de Investigacion Sanitaria, INCLIVA
    Valencia, 46010, Spain
    Recruiting
    • Susanna Roselló, MD · Contactsrosello@incliva.es
    • Susana Roselló, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05592626
Lead sponsor
Marengo Therapeutics, Inc.
Responsible party
Sponsor
First posted
Oct 24, 2022
Start date
Jan 4, 2023
Primary completion
Sep 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Aug 11, 2026

Study contacts

Ke Liu, MD, PhD
Contact
kliu@marengotx.com
+1 (617) 917-4980

Oversight

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

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Studies of the drug tested here: Anti-TCR Vb6/Vb10/IL-2 Antibody Fusion Protein STAR0602

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