New combo therapy shows promise for rare lung cancer
NCT ID NCT03762018
First seen Jun 27, 2026 · Last updated Jul 23, 2026 · Updated 2 times
Summary
This study tested whether adding the immunotherapy drug atezolizumab to standard treatment (bevacizumab plus chemotherapy) helps people with advanced malignant pleural mesothelioma live longer. The trial involved 400 adults whose cancer could not be removed by surgery. Researchers measured overall survival and how long the cancer stayed under control.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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400 people
The number who actually took part.
- Started
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Apr 2019
- Finished
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Nov 2024
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically confirmed advanced malignant pleural mesothelioma (all histological subtypes are eligible) * Not amenable for radical surgery based on local standards * Evaluable disease or measurable disease as assessed according to the modified response evaluation criteria for solid tumours for mesothelioma (mRECIST) v1.1 * Availability of tumour tissue for translational research * Age \>18 years * Performance Status 0-1 * Life expectancy \>3 months * Adequate haematological, renal and liver function * Completed baseline quality of life (QoL) questionnaire * Women of childbearing potential and sexually active men must agree to use highly effective contraception * Able to understand and give written informed consent and comply with trial procedures Exclusion Criteria: * Prior treatment for malignant pleural mesothelioma. Prior radiotherapy for symptom control is allowed, but the irradiated lesion cannot be used as target lesion. If the patient has another target lesion, the patient is eligible. * Treatment with systemic immune-stimulatory agents within 4 weeks or five half-lives of the drug prior to randomisation and during protocol treatment. * Treatment with systemic immunosuppressive medications within 2 weeks prior to randomisation and during protocol treatment. * Previous allogeneic tissue/solid organ transplant * Live vaccines within 4 weeks prior to first dose of protocol treatment * Inadequately controlled hypertension * Prior history of hypertensive crisis or hypertensive encephalopathy * Significant vascular disease within 6 months prior to randomisation * History of haemoptysis * Evidence of bleeding diathesis or coagulopathy * Active autoimmune disease that has required systemic treatment in past 2 years * History of active diverticulitis * Previous treatment with atezolizumab and/or bevacizumab or parallel participation in other interventional clinical trial with atezolizumab and/or bevacizumab.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AULSS2 Marca Trevigiana Treviso
Treviso, Italy
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Addenbrooke's Hospital
Cambridge, United Kingdom
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Alicante University Hospital ISABIAL
Alicante, Spain
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CHU Liege
Liège, Belgium
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CHUV
Lausanne, Switzerland
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Caen- CHU
Caen, France
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Clatterbridge Cancer Centre
Liverpool, United Kingdom
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Complexo Hospitalario Universitario de Vigo
Vigo, Spain
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Curie Cancer Center Paris
Paris, France
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Ferdinando Cerciello
Bern, Switzerland
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Fondazione IRCCS Istituto Nazionale die Tumori
Milan, Italy
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Guy's and St Thomas' Hospital
London, United Kingdom
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Hospital Nord
Marseille, France
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Hospital Parc Tauli Sabadell
Sabadell, Spain
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ICO Hospitalet
Barcelona, Spain
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IRCCS Instituto Tumori Giovanni Paolo II
Bari, Italy
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Instituto Europeo di Oncologia (IEO)
Milan, Italy
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Istituto Oncologica della Svizzera Italiana
Bellinzona, Switzerland
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Kantonsspital Aarau
Aarau, Switzerland
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Kantonsspital Graubünden
Chur, Switzerland
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Kantonsspital St. Gallen
Sankt Gallen, Switzerland
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Kantonsspital Winterthur
Winterthur, Switzerland
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Kent Oncology Centre
Maidstone, United Kingdom
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Le Mans - CHG
Le Mans, France
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Luzerner Kantonsspital
Lucerne, Switzerland
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Lyon - Centre Léon Bérard
Lyon, France
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Plymouth Hospitals NHS Trust
Plymouth, United Kingdom
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Puerta de Hierro Hospital
Majadahonda, Spain
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Royal Cornwall Hospital
Truro, United Kingdom
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Royal Marsden Hospital (Fulham Road)
London, United Kingdom
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Royal Marsden Hospital (Sutton)
London, United Kingdom
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SS Antonio e Biagio e Cesare Arrigo Hospital
Alessandria, Italy
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Toulouse - CHU
Toulouse, France
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Tours - CHU
Tours, France
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Unicancer - Institut Bergonie
Bordeaux, France
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University Hospital Leuven
Leuven, Belgium
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University Hospital of Turin
Turin, Italy
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UniversitätSpital Zürich
Zurich, Switzerland
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Vall Hebron University Hospital/Vall Hebron Institue Oncology
Barcelona, Spain
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Virgen del Rocio
Seville, Spain
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Weston Park Hospital
Sheffield, United Kingdom
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Wythenshawe Hospital
Manchester, United Kingdom
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Other studies related to the condition(s) this trial covers.