Can targeted drug cocktails tame mesothelioma?
NCT ID NCT03654833
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
Summary
This trial is testing several different targeted drug combinations in people with mesothelioma that has returned after initial treatment. The goal is to see which therapies can control the disease and potentially improve survival. Participants are assigned to a treatment based on the molecular profile of their tumor, aiming for a more personalized approach.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Multiple targeted therapies: rucaparib, abemaciclib, pembrolizumab with bemcentinib, atezolizumab with bevacizumab, and dostarlimab with niraparib
- What this could lead to
- If successful, this trial could identify which targeted therapy works best for specific mesothelioma subtypes, leading to more personalized and effective treatment options.
- What could go wrong
- This is an early-phase trial, so the drugs may not work as hoped or may cause significant side effects. Results may not apply to all mesothelioma patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
186 people
The number who actually took part.
- Started
-
Jan 2019
- Finished
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Mar 2024
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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 FOR PRE-SCREENING * Histologically confirmed MM with an available biopsy for research purposes * Male or female patients aged ≥18 years. * Expected survival of ≥12 weeks or greater * ECOG PS 0-1 * CT scan chest, abdomen (and pelvis if applicable) confirming disease progression. * Patients must have received at least one prior line of therapy to include a platinum doublet first-line chemotherapy (within or outside of another clinical trial) * Willing to consent for molecular screening of archived tumour block (PIS1 \& CF1) EXCLUSION CRITERIA FOR PRE-SCREENING * Patients with a diagnosis of a second malignancy except prostate or cervical cancer in remission, patients with a diagnosis of basal cell carcinoma of the skin or superficial bladder cancer. * Uncontrolled CNS disease. Asymptomatic brain metastases are allowed if previously treated with radiotherapy \>28 days prior to starting the investigational agent. * New York Heart Association Class II or greater congestive heart failure. * Patients with severe hepatic insufficiency or severe renal impairment. * Patients requiring long term oxygen therapy. * Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial. Each individual MiST drug protocol contains the eligibility criteria specific to the treatment allocated to the patient.
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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
-
University Hospitals of Leicester NHS Trust
Leicester, LE1 5WW, United Kingdom
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