> Trialight public data. Index of pages: https://trialight.com/llms.txt
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> Record changed: 2026-10-13

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

NCT07610941

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

Phase

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

Participants

157

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

Lead sponsor

Mestag Therapeutics Limited

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

Start date

2026-04-09

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

Number of sites

6

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Title and summary

**Summary**

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.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Acronym**

STARLYS

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Short title**

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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Official 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

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Status and phase

**Control arm**

Open label

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Phase**

Phase 1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Dates

**Completion date**

2029-12-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**First posted**

2026-05-28

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Registry last updated**

2026-06-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Primary completion date**

2029-12-31

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Start date**

2026-04-09

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Size and sites

**Participants**

157

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Planned participants**

157

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Protocol amendments**

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Number of sites**

6

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Lead sponsor**

Mestag Therapeutics Limited

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Identifiers

**Registry ID**

NCT07610941

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**ClinicalTrials.gov ID**

NCT07610941

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Study design

**Allocation**

Not randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

No masking

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Outcomes

### Primary outcomes

1. Incidence of Dose-limiting Toxicities (DLTs)  
Timeframe: 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)  
Timeframe: Up to 24 months

### Secondary outcomes

1. Maximum Concentration (Cmax) Derived for MST-0312  
Timeframe: 24 months
2. Time of Maximum Concentration (Tmax)  
Timeframe: 24 Months
3. Area Under the Curve (AUC) for Various Time Intervals  
Timeframe: 24 Months
4. Half Life (t1/2) for MST-0312  
Timeframe: 24 Months
5. Clearance (CL) for MST-0312  
Timeframe: 24 Months
6. Percentage of Participants with Anti-Drug Antibodies (ADAs)  
Timeframe: 24 Months
7. Objective Response Rate (ORR) by RECIST 1.1 and iRECIST  
Timeframe: 12 Months
8. Disease Control Rate (DCR) by RECIST 1.1 and iRECIST  
Timeframe: 12 Months
9. Duration of Response (DoR) by RECIST 1.1 and iRECIST  
Timeframe: 12 Months
10. Progression Free Survival (PFS) by RECIST 1.1 and iRECIST  
Timeframe: 12 Months
11. Best Overall Response (BoR) by RECIST 1.1 and iRECIST  
Timeframe: 12 Months
12. Time To Response (TTR) by RECIST 1.1 and iRECIST  
Timeframe: 12 Months
13. Progression Free Survival 2 (PFS2) by RECIST 1.1 and iRECIST  
Timeframe: 48 Months
14. Overall Survival (OS)  
Timeframe: 48 Months

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### 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.

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Sites

- Hospital Universitari Vall d'HebronBarcelona, SpainNot yet recruiting
- Clinica Universidad De NavarraMadrid, SpainNot yet recruiting
- Hospital Universitario Fundacion Jimenez DiazMadrid, SpainRecruiting
- Hospital Universitario 12 De OctubreMadrid, SpainNot yet recruiting
- Hospital Universitario Hm SanchinarroMadrid, SpainRecruiting
- Hospital Clinico Universitario De ValenciaValencia, SpainNot yet recruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## References

### Other registry identifiers (2)

- 2025
- 2025-524446-10

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT07610941)

## Related records

### Drugs (1)

- [Pembrolizumab](https://trialight.com/data/asset/pembrolizumab-f9ac1934-47a5-4a53-ae55-20b7d53d8815.md)

### Lead sponsors (1)

- [Mestag Therapeutics Limited](https://trialight.com/data/company/mestag-therapeutics-limited-9e4fc0a3-0664-42fd-9660-f26d43b7ac64.md)

### Targets (1)

- [PDCD1](https://trialight.com/data/target/pdcd1-a7b9a076-9fdd-55c9-9ce8-e558e5c7503f.md)

---

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