New drug could extend life for mesothelioma patients
NCT ID NCT01843374
First seen Jun 25, 2026 · Last updated Jul 28, 2026 · Updated 3 times
Summary
This phase 2b trial tests whether the immunotherapy drug tremelimumab can help people with advanced mesothelioma live longer. About 571 patients who have already tried standard chemotherapy will receive either tremelimumab or a placebo. The main goal is to see if the drug improves overall survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tremelimumab (an immunotherapy drug given by IV)
- What this could lead to
- If it works, this could offer a new treatment option to extend survival for people with advanced mesothelioma who have run out of standard options.
- What could go wrong
- This is a mid-stage trial, so results are not yet proven. The drug may not improve survival and could cause immune-related side effects.
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
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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571 people
The number who actually took part.
- Started
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May 2013
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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 to 99 years
- 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: 1. Histologically and/or cytologically confirmed pleural or peritoneal malignant mesothelioma; 2. Disease not amenable to curative surgery; 3. Age 18 and over at the time of consent; 4. ECOG Performance status 0-1; 5. Progressed after previous receipt of 1-2 prior systemic treatments for advanced disease that included a first-line pemetrexed (or anti-folate)-based regimen in combination with platinum agent. 6. Recovered from all toxicities associated with prior treatment, to acceptable baseline status, or a NCI CTCAE Grade of 0 or 1, except for toxicities not considered a safety risk, 7. Measurable diseaseby modified RECIST for pleural mesothelioma or RECIST v1.1 for peritoneal mesothelioma; 8. Adequate bone marrow, hepatic, and renal function determined within 14 days prior to randomization defined as: 9. Negative screening test results for human immunodeficiency virus (HIV), hepatitis A, B and C. 10. Written informed consent and any locally required authorization (eg, HIPAA in the USA, EU Data Privacy Directive authorization in the EU) obtained from the subject/legal representative prior to performing any protocol- related procedures, including screening evaluations; 11. Females of childbearing potential who are sexually active with a nonsterilized male partner must use a highly effective method of contraception for 28 days prior to the first dose of investigational product, and must agree to continue using such precautions for 6 months after the final dose of investigational product; cessation of contraception after this point should be discussed with a responsible physician. 12. Nonsterilized males who are sexually active with a female partner of childbearing potential must use a highly effective method of contraception from Days 1 through 90 post last dose. In addition, they must refrain from sperm donation for 90 days after the final dose of investigational product. Exclusion Criteria: 1. Subjects who failed more than 2 prior systemic treatment regimens for advanced malignant mesothelioma; 2. Received any prior mAb against CTLA-4, programmed cell death 1 (PD1) or programmed cell death 1 ligand 1 (PD-L1); 3. History of chronic inflammatory or autoimmune disease with symptomatic disease within the last 3 years prior to randomization. 4. Active, untreated central nervous system (CNS) metastasis 5. Any serious uncontrolled medical disorder or active infection that would impair the subject's ability to receive investigational product; 6. History of other malignancy unless the subject has been disease-free for at least 3 years; 7. Pregnant or breast feeding at time of consent; 8. Any condition that would prohibit the understanding or rendering of information and consent and compliance with the requirements of this protocol; 9. Active or history of diverticulitis; 10. Active or history of inflammatory bowel disease, irritable bowel disease, celiac disease or other serious gastrointestinal chronic conditions associated with diarrhea. Active or history of systemic lupus erythematosus or granulomatosis with polyangiitis; 11. History of sarcoidosis syndrome; 12. Currently receiving systemic corticosteroids or other immunosuppressive medications or has a medical condition that requires the chronic use of corticosteroids. 13. Subjects should not be vaccinated with live attenuated vaccines within one month prior to starting tremelimumab treatment; 14. The last dose of prior chemotherapy or radiation therapy was received less than 2 weeks prior to randomization; 15. Any unresolved toxicity NCI CTCAE Grade ≥ 2 from previous anticancer therapy with the exception of vitiligo and alopecia; 16. Any condition that, in the opinion of the investigator, would interfere with evaluation of the investigational product or interpretation of subject safety or study results; 17. Concurrent enrollment in another clinical study or receipt of an investigational product within the last 4 weeks 18. Employees of the study site directly involved with the conduct of the study, or immediate family members of any such individuals; 19. Subjects with a history of hypersensitivity to compounds of similar biologic composition to tremelimumab or any constituent of the product.
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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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Research Site
Scottsdale, Arizona, 85259, United States
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Research Site
La Jolla, California, 92093, United States
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Los Angeles, California, 90025, United States
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San Francisco, California, 94143, United States
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Santa Monica, California, 90404, United States
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New Haven, Connecticut, 06511, United States
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Newark, Delaware, 19718, United States
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Tampa, Florida, 33612, United States
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Augusta, Georgia, 30912, United States
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Chicago, Illinois, 60637, United States
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Peoria, Illinois, 61615, United States
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Baltimore, Maryland, 21201, United States
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Baltimore, Maryland, 21231, United States
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Minneapolis, Minnesota, 55445, United States
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New York, New York, 10065, United States
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Rochester, New York, 14642, United States
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Durham, North Carolina, 27710, United States
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Canton, Ohio, 44710, United States
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Philadelphia, Pennsylvania, 19104, United States
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Dallas, Texas, 75390, United States
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Houston, Texas, 77030, United States
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Adelaide, 5000, Australia
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Auchenflower, 4066, Australia
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Box Hill, 3128, Australia
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Chermside, 4032, Australia
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East Bentleigh, 3165, Australia
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Gosford, 2250, Australia
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Heidelberg, 3084, Australia
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Nedlands, 6009, Australia
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Saint Leonards, 2065, Australia
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Waratah, 2298, Australia
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Edegem, 2650, Belgium
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Ghent, 9000, Belgium
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Leuven, 3000, Belgium
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Toronto, Ontario, M5G 2M9, Canada
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Sainte-Foy, Quebec, G1V 4G5, Canada
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Copenhagen, 2100, Denmark
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Caen, 14076, France
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Le Mans, 72037, France
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Lille, 59037, France
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Nice, 06189, France
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Rennes, 35033, France
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Toulouse, 31059, France
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Villejuif, 94805, France
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Berlin, 13125, Germany
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Esslingen a.N., 73730, Germany
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Freiburg im Breisgau, 79106, Germany
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Gauting, 82131, Germany
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Großhansdorf, 22927, Germany
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Hamburg, 21075, Germany
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Hemer, 58675, Germany
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Karlsruhe, 76137, Germany
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Löwenstein, 74245, Germany
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Lübeck, 23538, Germany
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Gyöngyös - Mátraháza, 3200, Hungary
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Törökbálint, 2045, Hungary
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Beersheba, 84101, Israel
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Alessandria, 15100, Italy
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Aviano, 33081, Italy
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Bergamo, 24125, Italy
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Bologna, 40138, Italy
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Candiolo, 10060, Italy
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Genova, 16132, Italy
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Meldola, 47014, Italy
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Milan, 20133, Italy
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Orbassano, 10043, Italy
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Padova, 35128, Italy
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Rozzano, 20089, Italy
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Siena, 53100, Italy
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Breda, 4818 CK, Netherlands
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Eindhoven, 5623EJ, Netherlands
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Rotterdam, 3015 GD, Netherlands
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Gdansk, 80-952, Poland
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Poznan, 60-693, Poland
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Szczecin, 70-891, Poland
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Warsaw, 02-781, Poland
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Craiova, 200385, Romania
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Moscow, 115478, Russia
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Nizhny Novgorod, 603006, Russia
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Saint Petersburg, 197022, Russia
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Kraaifontein, 7570, South Africa
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Pretoria, 0081, South Africa
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Pretoria, 0181, South Africa
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Jeonnam, 58128, South Korea
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Seoul, 03722, South Korea
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Seoul, 05505, South Korea
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Seoul, 06351, South Korea
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Barcelona, 08035, Spain
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Donostia / San Sebastian, 20014, Spain
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Madrid, 28040, Spain
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Sabadell (Barcelona), 08208, Spain
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Seville, 41013, Spain
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Linköping, 58185, Sweden
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Lund, 22185, Sweden
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Umeå, SE90185, Sweden
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Leeds, LS9 7TF, United Kingdom
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Leicester, LE1 5WW, United Kingdom
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London, EC1A 7BE, United Kingdom
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London, SE1 9RT, United Kingdom
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Maidstone, ME16 9QQ, United Kingdom
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Manchester, M23 9LT, United Kingdom
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Research Site
Metropolitan Borough of Wirral, CH63 4JY, United Kingdom
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Research Site
Plymouth, PL6 8DH, United Kingdom
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Research Site
Southampton, SO16 6YD, United Kingdom