A Clinical Study With Tremelimumab as Monotherapy in Malignant Mesothelioma

Azienda Ospedaliera Universitaria Senese

Status and phase: Unknown; Phase 2

Conditions: Malignant Mesothelioma

Treatments: Drug: Tremelimumab

Study type: Interventional

Funder types: Other

Identifiers

NCT01649024

MESOT-TREM-2008

2008-005171-95 (EudraCT Number)

Details and patient eligibility

About

The study is designed to define the immunologic and clinical activity of Tremelimumab in patients with advanced mesothelioma.

Full description

No effective standard treatment can improve significantly the prognosis of malignant mesothelioma (MM) patients. However, there is evidence that MM patients may benefit from immunotherapeutic agents.

Clinical studies examining CTLA-4 blockade are providing convincing evidences on the immunobiological effects and on the clinical activity of this new class of immunomodulating therapeutic agents, likely due to their ability to stimulate patients'immune system to more effectively attack tumor cells by blocking a negative regulatory signal.

Tremelimumab is a fully human anti-CTLA-4 monoclonal antibody (mAb), developed as an IgG2 isotype to minimize complement activation and reduce the risk of cytokine storm. As a single agent, Tremelimumab can induce durable tumor regression in 7-10% of patients with advanced melanoma. Tremelimumab has been tested in several clinical trials as single-agent or in combination with other agents in different solid tumors.

The evidences above unveil a strong immunologic potential of treatment with Tremelimumab also in MM patients.

Enrollment: 29 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Histologically or cytologically confirmed malignant mesothelioma (MM)
• Have received only one prior systemic chemotherapy platinum-based regimen for advanced MM
• Disease not amenable to curative surgery
• No known brain metastasis
• Age 18 and over
• Performance status 0-2
• Life expectancy > 12 weeks
• Adequate hematologic, hepatic and renal function
• Not pregnant or nursing
• Patient must be willing and able to provide written informed consent, and the trial have to be approved by the institutional review board at each institution

Exclusion criteria

• Symptomatic chronic inflammatory or autoimmune disease
• Active hepatitis B or C
• Clinically relevant cardiovascular disease, i.e., myocardial infarction or other severe coronary artery diseases within the prior 6 months, cardiac arrythmia requiring medication, uncontrolled hypertension, overt cardiac failure or not compensated chronic heart disease in NYHA class II or more
• History of psychiatric disabilities, potentially interfering with the capability of giving adequate informed consent
• Uncontrolled active infections
• Other concurrent chemotherapy, immunotherapy, radiotherapy or investigational agents
• History of other malignancies except for adequately treated basal cell carcinoma or squamous cell skin cancer or carcinoma of cervix, unless the patient has been disease-free for at least 5 years

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

29 participants in 1 patient group

single arm of Tremelimumab

Experimental group

Description:

Tremelimumab is administered at 15 mg/kg on day 1 every 12 weeks for 4 doses

Treatment:

Drug: Tremelimumab