STAR0602 + Nivolumab for Lung and Prostate Cancers

CA
AR
Overseen ByArun Rajan, M.D.
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: National Cancer Institute (NCI)
Must be taking: Androgen deprivation therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new cancer treatment called STAR0602, either alone or with an approved drug, nivolumab, to determine if it can enhance the immune system's ability to combat non-small cell lung cancer (NSCLC), metastatic castrate-resistant prostate cancer (mCRPC), and thymic carcinoma (TC). The study will explore different doses to identify the most effective and safest use of these drugs. Individuals with NSCLC, mCRPC, or TC whose cancer has returned or did not respond to previous treatments may qualify for this trial. Participants will receive the drugs through infusions and undergo various health checks throughout the study. As a Phase 1, Phase 2 trial, this research focuses on understanding the treatment's effects in people and measuring its effectiveness in an initial, smaller group.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that patients generally tolerate nivolumab well. It treats various cancers, and while some side effects occur, they are often manageable. Common side effects include tiredness, skin rash, and joint pain, which are usually mild to moderate.

For STAR0602, less information is available because it remains under testing. The current trial aims to find the best dose, so researchers closely monitor safety. While patients are observed for side effects, the complete safety profile is still being determined.

In summary, nivolumab has a known safety record in cancer treatments, while STAR0602 is newer and still under study. Trial participants will be closely monitored to ensure their safety.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about STAR0602 combined with Nivolumab because it offers a novel approach to treating lung and prostate cancers. Unlike traditional treatments like chemotherapy and radiation, which often have broad and harsh effects, STAR0602 targets cancer cells more precisely, potentially reducing side effects. This combination therapy aims to enhance the immune system's ability to fight cancer by using Nivolumab, an immune checkpoint inhibitor, alongside STAR0602, which may have a unique mechanism of action that further boosts the immune response. Additionally, the trial explores both combination therapy and STAR0602 as a standalone treatment, potentially offering flexible options for patients depending on their specific needs.

What evidence suggests that this trial's treatments could be effective for lung and prostate cancers?

Research has shown that nivolumab yields promising results for treating certain cancers. Specifically, in patients with non-small cell lung cancer (NSCLC), 60% remained free of cancer recurrence five years after treatment. Nivolumab has also extended patient survival when combined with other NSCLC treatments. In this trial, some participants will receive STAR0602 alone, while others will receive it with nivolumab. Early studies of STAR0602, both alone and with nivolumab, demonstrated a 67% rate of disease control and a 44% rate of tumor reduction. These findings suggest that combining STAR0602 with nivolumab may enhance the body's immune response against these cancers.678910

Who Is on the Research Team?

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Arun Rajan, M.D.

Principal Investigator

National Cancer Institute (NCI)

Are You a Good Fit for This Trial?

This trial is for adults (18+) with non-small cell lung cancer, metastatic castrate-resistant prostate cancer, or thymic carcinoma whose cancer did not respond to previous treatments or has come back.

Inclusion Criteria

I am able to care for myself and perform daily activities.
I have advanced cancer that cannot be cured or removed and it is getting worse.
Castrate testosterone level <50 ng/dl in mCRPC participants
See 12 more

Exclusion Criteria

History of allergic reactions to compounds similar to STAR0602 or other study agents
Detectable acetylcholine receptor autoantibodies or anti-striational antibodies in TC participants due to risk of immune myositis
Participants receiving other investigational agents
See 11 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Participants receive STAR0602 and nivolumab infusions on Day 1 and 15 of each 28-day cycle, with hospital stays up to 5 days after the first two infusions.

24 months for STAR0602, 6 months for nivolumab
Bi-weekly visits for infusions

Follow-up

Participants are monitored for safety and effectiveness after treatment, with follow-up phone calls and visits every 3 to 6 months.

5 years
Follow-up calls and visits every 3 to 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Nivolumab
  • STAR0602

Trial Overview

The study tests a new immunotherapy drug called STAR0602 alone in thymic carcinoma, and combined with nivolumab in lung and prostate cancers. Treatments are given by IV infusion every two weeks in repeating cycles.

How Is the Trial Designed?

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Treatment groups

Experimental Treatment

Group I: Arm 4Experimental Treatment1 Intervention
Group II: Arm 3Experimental Treatment1 Intervention
Group III: Arm 2Experimental Treatment2 Interventions
Group IV: Arm 1Experimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Cancer Institute (NCI)

Lead Sponsor

Trials
14,080
Recruited
41,180,000+

Citations

Marengo to Share Updated Clinical Results from STARt ...

Initial disease control rate of 67%, tumor regression rate of 44% and preliminary objective response rate of 22% were observed in TMB-H patients

University of California Health Non-Small Cell Lung Cancer ...

The aim of this study is to assess the safety, side effects and effectiveness of EP0031 (Lunbotinib) in patients with advanced RET-altered non- ...

Marengo Therapeutics Announces First Patient Dosed in ...

We are confident that evaluating STAR0602 in well-defined populations will allow us to efficiently investigate biological and clinical activity, ...

Clinical Outcomes of Chemotherapeutic Molecules as Single ...

Results: Monotherapy showed lower treatment endpoints compared to combination therapy. Different combinations of platinum-based doublets ...

Clinical Outcomes of Chemotherapeutic Molecules as ...

Results: Monotherapy showed lower treatment endpoints compared to combination therapy. Different combinations of platinum-based doublets ...

6.

en.wikipedia.org

en.wikipedia.org/wiki/Lung

Lung

The tissue of the lungs can be affected by several respiratory diseases including pneumonia and lung cancer.

Lung | Springer Nature Link

Lung is a journal dedicated to all aspects of pulmonary medicine, including the study of healthy and diseased lungs, airways, and breathing.

8.

cisnet.cancer.gov

cisnet.cancer.gov/lung/

Lung Cancer Modeling | SRP/DCCPS/NCI/NIH - CISNET

the models project that there would be approximately 249,000 fewer premature deaths, 45,000 fewer deaths from lung cancer, and 4.2 million fewer years Studies, ...

9.

lung.org

lung.org/

American Lung Association: Home

52% INCREASE The five-year lung cancer survival rate increased 52% over the past decade. cancer—the #1 cancer killer in America.

Healthy Lungs vs. Smoker's Lungs: What You Need to Know

Compare healthy lungs and smoker's lungs. Learn how smoking alters lung structure, damages tissue, and increases the risk of respiratory diseases.