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Tremelimumab for Mesothelioma (Tremelimumab Trial)
Phase 2
Waitlist Available
Research Sponsored by MedImmune LLC
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
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
Histologically and/or cytologically confirmed pleural or peritoneal malignant mesothelioma
Must not have
Active or history of diverticulitis
Received any prior mAb against CTLA-4, programmed cell death 1 (PD1) or programmed cell death 1 ligand 1 (PD-L1)
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 years.
Summary
This trial is testing a new cancer drug for people with mesothelioma who can't have surgery. 564 people will be enrolled and randomly assigned to either receive the drug or a placebo. There will be follow-ups to check safety and long-term effects.
Who is the study for?
This trial is for adults over 18 with confirmed pleural or peritoneal malignant mesothelioma who have progressed after 1-2 systemic treatments including a pemetrexed-based regimen. They must have measurable disease, adequate organ function, no HIV or hepatitis, and not be candidates for curative surgery. Participants should use effective contraception and cannot join if they've had certain autoimmune diseases, other cancers within 3 years (except some exceptions), recent chemotherapy or radiation, severe allergies to similar drugs, active infections, CNS metastasis, are pregnant/breastfeeding or unable to consent.
What is being tested?
The study compares Tremelimumab (a new treatment) with a placebo in patients with unresectable malignant mesothelioma. It's randomized (patients are assigned by chance) and double-blind (neither the researchers nor participants know who gets the real treatment). The ratio of assignment is two patients on Tremelimumab for every one patient on placebo across multiple countries.
What are the potential side effects?
Potential side effects of Tremelimumab may include diarrhea from gastrointestinal conditions; immune-related issues like inflammation of organs; skin reactions; fatigue; liver problems due to hepatic function changes; infusion reactions during drug administration; increased risk of infection.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My advanced disease worsened after 1-2 treatments including a pemetrexed-platinum combo.
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My cancer, found in the lining of my chest or abdomen, has been confirmed by lab tests.
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I am 18 years old or older.
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My condition cannot be cured with surgery.
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I am fully active or can carry out light work.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have or had diverticulitis.
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I have received treatments targeting immune checkpoints.
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I have had symptoms of an autoimmune disease in the last 3 years.
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I received my last chemotherapy or radiation less than 2 weeks ago.
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I have tried more than 2 treatments for advanced mesothelioma without success.
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I have or had lupus or granulomatosis with polyangiitis.
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I have a history of sarcoidosis.
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I am currently on steroids or other drugs that weaken my immune system.
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I don't have any serious illnesses or infections that would stop me from taking a new treatment.
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I have brain metastases that haven't been treated.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 3 years.
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 years.
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Overall Survival (OS)
Secondary study objectives
Disease Control Rate by Treatment Arm
Upper arm
Upper arm
+5 moreSide effects data
From 2019 Phase 2 trial • 33 Patients • NCT0300740738%
Fatigue
21%
Diarrhea
17%
Nausea
17%
Fever
17%
Anorexia
17%
Maculopapular rash
17%
Pruritus
14%
Constipation
14%
Rash maculo-papular
10%
Anemia
10%
Abdominal pain
10%
Itching
7%
Hypothyroidism
7%
Non-cardiac chest pain
7%
Weight loss
7%
Cough
7%
Dry Skin
7%
Dehydration
100%
80%
60%
40%
20%
0%
Study treatment Arm
Durvalumab and Tremelimumab
Trial Design
2Treatment groups
Experimental Treatment
Placebo Group
Group I: TremelimumabExperimental Treatment1 Intervention
Tremelimumab
Group II: PlaceboPlacebo Group1 Intervention
Placebo
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Tremelimumab
2017
Completed Phase 2
~3070
Find a Location
Who is running the clinical trial?
MedImmune LLCLead Sponsor
347 Previous Clinical Trials
788,186 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You have had a bad reaction to drugs similar to tremelimumab in the past.I don't have lasting side effects from cancer treatment, except for hair loss or skin color changes.My advanced disease worsened after 1-2 treatments including a pemetrexed-platinum combo.I have or had diverticulitis.I have received treatments targeting immune checkpoints.I have had symptoms of an autoimmune disease in the last 3 years.You have a measurable disease in the chest or abdominal lining.I received my last chemotherapy or radiation less than 2 weeks ago.My cancer, found in the lining of my chest or abdomen, has been confirmed by lab tests.I am 18 years old or older.I have tried more than 2 treatments for advanced mesothelioma without success.I have or had lupus or granulomatosis with polyangiitis.I have a history of sarcoidosis.I am currently on steroids or other drugs that weaken my immune system.I have not received any live vaccines in the last month.My blood, liver, and kidney tests are all within normal ranges.I don't have any serious illnesses or infections that would stop me from taking a new treatment.I have been cancer-free from another type of cancer for over 3 years.I have or had serious gut conditions like IBD or celiac disease.I am using effective birth control and will continue for 6 months after my last treatment dose.I am a man who can father children and will use effective birth control during and 90 days after treatment.You must have negative test results for HIV, hepatitis A, B, and C.I have recovered from previous cancer treatment side effects, except for minor ones.My condition cannot be cured with surgery.I am fully active or can carry out light work.I have brain metastases that haven't been treated.
Research Study Groups:
This trial has the following groups:- Group 1: Tremelimumab
- Group 2: Placebo
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.