NCT06097728

Brief Summary

This is a phase III, randomized, open-label, multicenter, global study to determine the efficacy and safety of Volrustomig (MEDI5752) + Carboplatin + Pemetrexed vs the investigator's choice of platinum + Pemetrexed or Nivolumab + Ipilimumab in participants with unresectable pleural mesothelioma.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
863

participants targeted

Target at P75+ for phase_3

Timeline
28mo left

Started Nov 2023

Longer than P75 for phase_3

Geographic Reach
21 countries

151 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress54%
Nov 2023Nov 2028

First Submitted

Initial submission to the registry

October 4, 2023

Completed
20 days until next milestone

First Posted

Study publicly available on registry

October 24, 2023

Completed
16 days until next milestone

Study Start

First participant enrolled

November 9, 2023

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 16, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 16, 2028

Last Updated

July 28, 2026

Status Verified

July 1, 2026

Enrollment Period

5 years

First QC Date

October 4, 2023

Last Update Submit

July 27, 2026

Conditions

Keywords

MesotheliomaPleural MesotheliomaUnresectable Pleural MesotheliomaAdvanced pleural mesothelioma

Outcome Measures

Primary Outcomes (1)

  • Overall Survival (OS) in experimental arm relative to comparator arm

    OS is defined as the time from randomization until the date of death due to any cause.

    up to approximately 61 months

Secondary Outcomes (17)

  • Overall Survival (OS)

    up to approximately 61 months

  • Progression Free Survival (PFS)

    up to approximately 61 months

  • Landmark OS

    12, 18, 24, 36 months

  • Landmark PFS

    6, 12, 18, 24 months

  • Overall Response Rate (ORR)

    up to approximately 61 months

  • +12 more secondary outcomes

Study Arms (2)

Volrustomig + Carboplatin + pemetrexed

EXPERIMENTAL

Volrustomig in combination with carboplatin plus pemetrexed

Drug: VolrustomigDrug: PemetrexedDrug: Carboplatin

Investigator's choice of standard care

ACTIVE COMPARATOR

The investigator's choice of nivolumab plus ipilimumab or platinum plus pemetrexed chemotherapy for participants with epithelioid histology, and nivolumab plus ipilumab for participants with non-epithelioid histology.

Drug: PemetrexedDrug: CarboplatinDrug: CisplatinDrug: NivolumabDrug: Ipilimumab

Interventions

MEDI5752: Administered as IV infusion

Also known as: MEDI5752
Volrustomig + Carboplatin + pemetrexed

Alimta: Administered as IV infusion

Also known as: Alimta
Investigator's choice of standard careVolrustomig + Carboplatin + pemetrexed

Paraplatin: Administered as IV infusion

Also known as: Paraplatin
Investigator's choice of standard careVolrustomig + Carboplatin + pemetrexed

Platinol: Administered as IV infusion

Also known as: Platinol
Investigator's choice of standard care

Opdivo: Administered as IV infusion

Also known as: Opdivo
Investigator's choice of standard care

Yervoy: Administered as IV infusion

Also known as: Yervoy
Investigator's choice of standard care

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participant must be ≥ 18 years at the time of screening
  • Histologically proven diagnosis of pleural mesothelioma with known histology (epithelioid vs. non-epithelioid)
  • Advanced unresectable disease that cannot be treated with curative surgery (with or without chemotherapy)
  • WHO/ECOG performance status of 0 or 1 with no deterioration (that is, ECOG PS\>1) over the previous 2 weeks prior to day of first dosing
  • Has measurable disease per modified RECIST1.1
  • Has adequate bone marrow reserve and organ function at baseline

You may not qualify if:

  • As judged by the investigator, any condition that would interfere with evaluation of the investigational product or interpretation of participant safety or study results.
  • Active or prior documented autoimmune or inflammatory disorders
  • History of another primary malignancy with exceptions.
  • Uncontrolled intercurrent illness
  • Tuberculosis, hepatitis B (HBV) or hepatitis C (HCV), human immunodeficiency virus (HIV) infection that is not well controlled
  • Any concurrent chemotherapy, radiotherapy, investigational, biologic, or hormonal therapy for cancer treatment
  • Untreated or progressive CNS metastatic disease

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (151)

Research Site

Santa Rosa, California, 95403, United States

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Aurora, Colorado, 80045, United States

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Jacksonville, Florida, 32224, United States

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Atlanta, Georgia, 30322, United States

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Chicago, Illinois, 60637, United States

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Rochester, Minnesota, 55905, United States

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St Louis, Missouri, 63110, United States

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Commack, New York, 11725, United States

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Columbus, Ohio, 43210, United States

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Portland, Oregon, 97213, United States

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Portland, Oregon, 97225, United States

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Philadelphia, Pennsylvania, 19104, United States

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Houston, Texas, 77030, United States

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Fairfax, Virginia, 22031, United States

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Chermside, 4032, Australia

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Clayton, 3168, Australia

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Melbourne, 3000, Australia

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Nedlands, 6009, Australia

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Westmead, 2145, Australia

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Anderlecht, 1070, Belgium

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Antwerp, 2020, Belgium

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Ghent, 9000, Belgium

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Hasselt, 3500, Belgium

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Sint-Niklaas, 9100, Belgium

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Barretos, 14784-400, Brazil

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Fortaleza, 60336-045, Brazil

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Porto Alegre, 91350-200, Brazil

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Rio de Janeiro, 22281-100, Brazil

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Santo André, 09060-650, Brazil

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São Paulo, 01246-000, Brazil

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Edmonton, Alberta, T6G 1Z2, Canada

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Ottawa, Ontario, K1H 8L6, Canada

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Toronto, Ontario, M5G 1X6, Canada

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Montreal, Quebec, H2X 0C1, Canada

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Québec, Quebec, G1V 4G5, Canada

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Beijing, 100142, China

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Beijing, 100210, China

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Changsha, 410013, China

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Chengdu, 610042, China

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Guangzhou, 510100, China

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Hangzhou, 310022, China

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Harbin, 150049, China

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Kunming, 650118, China

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Lanzhou, 730000, China

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Ningbo, 315100, China

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Qingdao, 266003, China

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Shandong, China

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Shanghai, 200032, China

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Shenyang, 110044, China

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Taiyuan, 030000, China

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Taiyuan, 030032, China

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Tianjin, 300050, China

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Tianjin, 300060, China

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Wuhan, 430030, China

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Xi'an, 710061, China

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Zhengzhou, 450008, China

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Zhengzhou, 450052, China

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Aarhus N, 8200, Denmark

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Copenhagen, 2100, Denmark

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Brest, 29200, France

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Créteil, 94010, France

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Le Mans, 72037, France

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Lille, 59037, France

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Lyon, 69373, France

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Marseille, 13015, France

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Montpellier, 34298, France

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Paris, 75877, France

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Rouen, 76031, France

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Saint-Herblain, 44800, France

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Strasbourg, 67091, France

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Toulouse, 31059, France

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Berlin, 13125, Germany

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Berlin, 14109, Germany

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Bochum, 44791, Germany

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Cologne, 51109, Germany

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Essen, 45122, Germany

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Gauting, 82131, Germany

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Georgsmarienhütte, 49124, Germany

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Großhansdorf, 22927, Germany

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Hamburg, 21075, Germany

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Heidelberg, 69126, Germany

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Kiel, 24105, Germany

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Münster, 48153, Germany

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Regensburg, 93049, Germany

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Alessandria, 15100, Italy

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Bari, 70124, Italy

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Bergamo, 24125, Italy

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Milan, 20141, Italy

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Monza, 20052, Italy

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Orbassano, 10043, Italy

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Padova, 35128, Italy

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Parma, 43100, Italy

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Rozzano, 20089, Italy

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Varese, 21100, Italy

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Amagasaki-shi, 660-8550, Japan

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Hakodate-shi, 040-8611, Japan

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Hiroshima, 734-8551, Japan

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Kitaadachi-gun, 362-0806, Japan

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Kitakyushu-shi, 807-8555, Japan

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Matsuyama, 791-0280, Japan

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Nagoya, 466-8560, Japan

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Nishinomiya-shi, 663-8501, Japan

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Okayama, 702-8055, Japan

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Osakasayama-shi, 589-8511, Japan

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Tokyo, 104-0045, Japan

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Ube-shi, 755-0241, Japan

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Amsterdam, 1066CX, Netherlands

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Eindhoven, 5623EJ, Netherlands

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Rotterdam, 3015 GD, Netherlands

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Lørenskog, 1478, Norway

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Oslo, 450, Norway

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Bystra, 43-360, Poland

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Olsztyn, 10-357, Poland

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Poznan, 60-569, Poland

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Warsaw, 02-781, Poland

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Cape Town, 7570, South Africa

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eManzimtoti, 4126, South Africa

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Johannesburg, 2013, South Africa

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Johannesburg, 2193, South Africa

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Kimberly, 8301, South Africa

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Pretoria, 0002, South Africa

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Pretoria, 0081, South Africa

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Seoul, 03080, South Korea

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Seoul, 06351, South Korea

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Seoul, 06591, South Korea

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Barakaldo, 48903, Spain

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Barcelona, 8035, Spain

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Madrid, 28041, Spain

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Oviedo, 33011, Spain

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Baden, CH-5405, Switzerland

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Basel, 4031, Switzerland

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Bern, 3010, Switzerland

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Fribourg, 1700, Switzerland

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Sankt Gallen, 9007, Switzerland

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Kaohsiung City, 80756, Taiwan

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Taichung, 40705, Taiwan

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Taipei, 10002, Taiwan

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Ankara, 06280, Turkey (Türkiye)

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Ankara, 06800, Turkey (Türkiye)

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Diyarbakır, 21280, Turkey (Türkiye)

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Izmir, 35110, Turkey (Türkiye)

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Cambridge, CB20QQ, United Kingdom

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Leeds, LS9 7TF, United Kingdom

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Leicester, LE1 5WW, United Kingdom

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London, NW1 2PG, United Kingdom

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London, SE1 9RT, United Kingdom

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London, SW3 6JJ, United Kingdom

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Manchester, M23 9LT, United Kingdom

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Newcastle upon Tyne, NE2 4HH, United Kingdom

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Portsmouth, PO6 3LY, United Kingdom

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Taunton, TA1 5DA, United Kingdom

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MeSH Terms

Conditions

MesotheliomaMesothelioma, Malignant

Interventions

PemetrexedCarboplatinCisplatinNivolumabIpilimumab

Condition Hierarchy (Ancestors)

AdenomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms, MesothelialLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SitePleural NeoplasmsLung DiseasesRespiratory Tract Diseases

Intervention Hierarchy (Ancestors)

GuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlutamatesAmino Acids, AcidicAmino AcidsAmino Acids, Peptides, and ProteinsAmino Acids, DicarboxylicCoordination ComplexesOrganic ChemicalsChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum CompoundsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsSerum GlobulinsGlobulins

Study Officials

  • Marjorie G Zauderer, MD

    Memorial Slone Kettering (MSK) Cancer Centre

    PRINCIPAL INVESTIGATOR
  • Arnaud Scherpereel, MD

    Lille University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
This is an open-label study for the personnel at study sites; the specific treatment to be taken by a participant will be assigned using an Interactive Response Technology/Randomization and Trial Supply Management. To maintain the integrity of the study, AstraZeneca personnel directly involved in the study conduct will not undertake or have access to efficacy data aggregated by treatment arm prior to final data readout for the primary endpoint.
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This is a randomized, open-label, Phase III trial in participants with untreated unresectable pleural mesothelioma. Approximately 825 participants across histology subtypes will be randomized in a 1:1 ratio to receive volrustomig in combination with carboplatin plus pemetrexed or the investigator's choice of nivolumab plus ipilimumab or platinum plus pemetrexed chemotherapy for participants with epithelioid histology, and nivolumab plus ipilumab for participants with non-epithelioid histology.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 4, 2023

First Posted

October 24, 2023

Study Start

November 9, 2023

Primary Completion (Estimated)

November 16, 2028

Study Completion (Estimated)

November 16, 2028

Last Updated

July 28, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will share

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. "Yes", indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA/PhRMA Data-Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Access Criteria
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. A Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
More information

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