Engineered immune cells take aim at Mesothelioma—Can they deliver?

NCT ID NCT04577326

First seen Jul 27, 2026 · Last updated Jul 27, 2026

Summary

This early-stage trial is testing whether a new type of CAR-T cell therapy is safe for people with malignant pleural mesothelioma, a rare and aggressive cancer of the lung lining. The CAR-T cells are engineered to target a protein called mesothelin on cancer cells and include a built-in checkpoint inhibitor to boost their activity. Participants receive a single dose of these cells directly into the chest cavity, after a low dose of chemotherapy to prepare the immune system. The goal is to find the safest dose and observe any effects on the tumor.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
genetically engineered CAR-T cells targeting mesothelin with cell-intrinsic checkpoint inhibition, plus a preconditioning dose of cyclophosphamide
What this could lead to
If safe and effective, this approach could point toward a new treatment for mesothelioma, a cancer with limited options.
What could go wrong
This is a very early phase 1 trial with only 14 participants, so safety and dosing are the main focus—benefit is not yet known. CAR-T therapy can cause severe side effects like cytokine release syndrome.

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Conditions

The condition(s) this trial relates to.

malignant pleural mesothelioma Mesothelioma, Malignant

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Memorial Sloan Kettering Cancer Center (All Protocol Activities)

    New York, New York, 10065, United States

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