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Chemotherapy for Mesothelioma
Uniondale, NY
Phase 2
Recruiting
Led By Garrett Nash, MD
Research Sponsored by Memorial Sloan Kettering Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Complete or near-complete CRS achieved
ECOG performance status ≤ 1
Must not have
Subjects with preoperative or intraoperative biopsy consistent with sarcomatoid mesothelioma, well-differentiated papillary mesothelioma, or benign multicystic mesothelioma
Women who are pregnant or lactating
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 24 months
Awards & highlights
No Placebo-Only Group
Summary
This trial compares intraperitoneal vs. intravenous chemotherapy to determine which is more effective for people with mesothelioma.
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Who is the study for?
This trial is for adults with malignant peritoneal mesothelioma who've had surgery to remove most of the cancer. They need good liver and kidney function, no severe unrelated medical issues, not pregnant or breastfeeding, and can't have used certain chemotherapies before.Check my eligibility
What is being tested?
The study tests if chemotherapy given directly into the abdomen (intraperitoneal) or through a vein (intravenous) after surgery helps patients more. It compares these two methods post-surgery to see which one might be more effective.See study design
What are the potential side effects?
Chemotherapy drugs like Carboplatin, Pemetrexed, and Cisplatin may cause nausea, fatigue, kidney problems, allergic reactions, blood cell count changes leading to increased infection risk or bleeding complications.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My surgery removed almost all of my cancer.
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I am fully active and can carry on all my pre-disease activities without restriction.
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My mesothelioma was confirmed to be epithelioid type during surgery.
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I have been diagnosed with MPM at this hospital.
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I am scheduled for surgery to remove all cancer from my abdomen.
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My kidney function is within the normal range.
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Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
My biopsy shows I have a specific type of mesothelioma.
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I am currently pregnant or breastfeeding.
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My blood pressure is higher than 140/90 and I'm not cleared for surgery.
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I have heart failure or lung disease that could affect my participation in the study.
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I am allergic to cisplatin, carboplatin, pemetrexed, or mitomycin.
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My doctors suspect my cancer has spread outside my abdomen.
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My surgeon found extensive scar tissue in my abdomen that prevents certain treatments.
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I have had chemotherapy for peritoneal mesothelioma.
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I do not have a history of stroke or brain blood vessel issues that would make it unsafe for me to join the study.
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I have been treated with platinum-based chemotherapy before.
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Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 24 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 24 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Progression Free Survival
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: IVC armExperimental Treatment3 Interventions
Pemetrexed and cisplatin will be administered intravenously for a total of 4 to 6 cycles. Participants will receive 4 cycles, but can receive up to 6 cycles based on clinician discretion. Substitution with carboplatin allowed for pre-existing impairment of hearing, renal function, or neuropathy.
Group II: NIPC armActive Control3 Interventions
After completion of hyperthermic intraperitoneal chemotherapy/HIPEC, an intraperitoneal catheter with a subcutaneous reservoir will be inserted through the abdominal wall. When the participant's condition is considered stable by the physicians, the NIPC will be started. Pemetrexed and either cisplatin or carboplatin will be administered through the intraperitoneal port.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pemetrexed
2014
Completed Phase 3
~4980
Cisplatin
2013
Completed Phase 3
~3040
Carboplatin
2014
Completed Phase 3
~6450
Find a Location
Closest Location:University of Michigan (Data Collection Only)· Ann Arbor, MI· 176 miles
Who is running the clinical trial?
Memorial Sloan Kettering Cancer CenterLead Sponsor
1,995 Previous Clinical Trials
602,526 Total Patients Enrolled
Garrett Nash, MDPrincipal InvestigatorMemorial Sloan Kettering Cancer