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NCT Number: NCT07610941

Phase 1 Open Label Trial of MST-0312 Alone and in Combination in Subjects With Solid Malignancies

The STARLYS trial is an adaptive, modular, Phase 1, open-label, multi-part, clinical trial evaluating MST-0312 in selected solid tumors. MST-0312 is a targeted bispecific antibody that is designed to locally stimulate the lymphotoxin beta receptor (LTBR) in order to boost the body's immune response to cancer. The LTBR pathway is important in forming tertiary lymphoid structures and high endothelial venules in tumors, which have been associated with improved patient outcomes. The purpose of this study is to determine the safety and tolerability, pharmacodynamics, pharmacokinetics and anti-tumor activity of MST-0312 in subjects with solid malignancies (initially non-small cell lung cancer (NSCLC), melanoma, bladder cancer, colorectal cancer (CRC) and triple negative breast cancer (TNBC)) when administered either as monotherapy or in combination with anti-cancer treatments (initially pembrolizumab). The STARLYS trial is the first time MST-0312 has been administered to humans.

Recruiting

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Hospital Universitari Vall d'Hebron, Barcelona, Spain

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male and female subjects of any ethnic origin, aged 18 years and over.
  • Must have given written informed consent and must be able to understand the full nature and purpose of the trial, including possible risks and adverse effects.
  • Subject must have a solid malignancy (non-small cell lung cancer (NSCLC), melanoma, bladder cancer, colorectal cancer (CRC) and triple negative breast cancer (TNBC)).
  • An ECOG performance status of 0 or 1 with no deterioration over the previous two weeks.
  • Willing to permit access to stored historical tumour tissue and prior tumour radiological assessments, cancer treatment history, including response to treatment, and tumour biomarker data, where available.
  • Willing and able to comply with all scheduled visits, treatment plans, laboratory tests, and other trial procedures.

Exclusion criteria

  • Any unresolved toxicity (except alopecia) from prior therapy of ≥2 CTCAE Grade.
  • Active or documented history of autoimmune disease requiring interventional therapy.
  • Active infection requiring systemic antibiotic, antifungal, or antiviral medication within 14 days prior to first dose of IMP.
  • Male or female subjects of childbearing potential unwilling to comply with contraception requirements.

Treatment and study plan

MST-0312

Drug

A complete treatment cycle is defined as 21 calendar days.

Pembrolizumab

Drug

Monoclonal antibody

Other names: Keytruda

Primary outcomes

  1. Incidence of Dose-limiting Toxicities (DLTs)

    Time frame: From baseline to end cycle 1. A complete treatment cycle is defined as 21 calendar days.

  2. Incidence of Adverse Events, Treatment Emergent Adverse Events, Serious Adverse Events measured by Criteria for Adverse Events Version 6.0 (CTCAE v6.0)

    Time frame: Up to 24 months

Secondary outcomes

  1. Maximum Concentration (Cmax) Derived for MST-0312

    Time frame: 24 months

  2. Time of Maximum Concentration (Tmax)

    Time frame: 24 Months

  3. Area Under the Curve (AUC) for Various Time Intervals

    Time frame: 24 Months

  4. Half Life (t1/2) for MST-0312

    Time frame: 24 Months

  5. Clearance (CL) for MST-0312

    Time frame: 24 Months

  6. Percentage of Participants with Anti-Drug Antibodies (ADAs)

    Time frame: 24 Months

  7. Objective Response Rate (ORR) by RECIST 1.1 and iRECIST

    Time frame: 12 Months

  8. Disease Control Rate (DCR) by RECIST 1.1 and iRECIST

    Time frame: 12 Months

  9. Duration of Response (DoR) by RECIST 1.1 and iRECIST

    Time frame: 12 Months

  10. Progression Free Survival (PFS) by RECIST 1.1 and iRECIST

    Time frame: 12 Months

  11. Best Overall Response (BoR) by RECIST 1.1 and iRECIST

    Time frame: 12 Months

  12. Time To Response (TTR) by RECIST 1.1 and iRECIST

    Time frame: 12 Months

  13. Progression Free Survival 2 (PFS2) by RECIST 1.1 and iRECIST

    Time frame: 48 Months

  14. Overall Survival (OS)

    Time frame: 48 Months

Study contacts

Contact information is provided by the study sponsor or research team.

Mestag MST-0312-1001

CONTACT

[email protected]

+447721893628

Sponsors and collaborators

Lead sponsor

Mestag Therapeutics Limited

Industry

Registry information

Official study title

A Multi-arm, Open-label, Phase 1 Trial to Evaluate the Safety and Tolerability, Pharmacokinetics and Anti-tumour Activity of MST-0312 When Given Alone and in Combination With Anticancer Treatments in Subjects With Solid Malignancies

Acronym: STARLYS

Important dates

Study start
2026
Primary completion
2029
Study completion
2029
First posted
May 28, 2026
Registry last updated
Jun 1, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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