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

88
On Track

Trial Health Score

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

Strong global presence with extensive site network
Enrollment
825

participants targeted

Target at P75+ for phase_3

Timeline
31mo left

Started Nov 2023

Longer than P75 for phase_3

Geographic Reach
21 countries

178 active sites

Status
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 Progress50%
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
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 19, 2027

Expected
12 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 16, 2028

Last Updated

April 28, 2026

Status Verified

April 1, 2026

Enrollment Period

4 years

First QC Date

October 4, 2023

Last Update Submit

April 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 (178)

Research Site

Phoenix, Arizona, 85054, United States

WITHDRAWN

Research Site

Duarte, California, 91010, United States

WITHDRAWN

Research Site

Santa Rosa, California, 95403, United States

RECRUITING

Research Site

Aurora, Colorado, 80045, United States

RECRUITING

Research Site

Jacksonville, Florida, 32224, United States

RECRUITING

Research Site

Atlanta, Georgia, 30322, United States

RECRUITING

Research Site

Chicago, Illinois, 60637, United States

RECRUITING

Research Site

Baltimore, Maryland, 21231, United States

RECRUITING

Research Site

Rochester, Minnesota, 55905, United States

RECRUITING

Research Site

St Louis, Missouri, 63110, United States

RECRUITING

Research Site

East Brunswick, New Jersey, 08816, United States

WITHDRAWN

Research Site

Commack, New York, 11725, United States

RECRUITING

Research Site

Valhalla, New York, 10595, United States

RECRUITING

Research Site

Cleveland, Ohio, 44111, United States

WITHDRAWN

Research Site

Cleveland, Ohio, 44124, United States

WITHDRAWN

Research Site

Cleveland, Ohio, 44195, United States

WITHDRAWN

Research Site

Columbus, Ohio, 43210, United States

RECRUITING

Research Site

Independence, Ohio, 44131, United States

WITHDRAWN

Research Site

Portland, Oregon, 97213, United States

RECRUITING

Research Site

Portland, Oregon, 97225, United States

RECRUITING

Research Site

Portland, Oregon, 97239, United States

WITHDRAWN

Research Site

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

Research Site

Houston, Texas, 77030, United States

RECRUITING

Research Site

Fairfax, Virginia, 22031, United States

RECRUITING

Research Site

Chermside, 4032, Australia

ACTIVE NOT RECRUITING

Research Site

Clayton, 3168, Australia

ACTIVE NOT RECRUITING

Research Site

Melbourne, 3000, Australia

ACTIVE NOT RECRUITING

Research Site

Nedlands, 6009, Australia

ACTIVE NOT RECRUITING

Research Site

Westmead, 2145, Australia

ACTIVE NOT RECRUITING

Research Site

Anderlecht, 1070, Belgium

ACTIVE NOT RECRUITING

Research Site

Antwerp, 2020, Belgium

ACTIVE NOT RECRUITING

Research Site

Ghent, 9000, Belgium

COMPLETED

Research Site

Hasselt, 3500, Belgium

ACTIVE NOT RECRUITING

Research Site

Leuven, 3000, Belgium

WITHDRAWN

Research Site

Sint-Niklaas, 9100, Belgium

ACTIVE NOT RECRUITING

Research Site

Barretos, 14784-400, Brazil

ACTIVE NOT RECRUITING

Research Site

Fortaleza, 60336-045, Brazil

ACTIVE NOT RECRUITING

Research Site

João Pessoa, 58013-140, Brazil

WITHDRAWN

Research Site

Porto Alegre, 91350-200, Brazil

ACTIVE NOT RECRUITING

Research Site

Rio de Janeiro, 22281-100, Brazil

ACTIVE NOT RECRUITING

Research Site

Santo André, 09060-650, Brazil

ACTIVE NOT RECRUITING

Research Site

São Paulo, 01246-000, Brazil

ACTIVE NOT RECRUITING

Research Site

Edmonton, Alberta, T6G 1Z2, Canada

ACTIVE NOT RECRUITING

Research Site

Hamilton, Ontario, L8V 1C3, Canada

WITHDRAWN

Research Site

London, Ontario, N6A 5W9, Canada

WITHDRAWN

Research Site

Ottawa, Ontario, K1H 8L6, Canada

ACTIVE NOT RECRUITING

Research Site

Toronto, Ontario, M5G 1X6, Canada

ACTIVE NOT RECRUITING

Research Site

Montreal, Quebec, H2X 0C1, Canada

ACTIVE NOT RECRUITING

Research Site

Québec, Quebec, G1V 4G5, Canada

ACTIVE NOT RECRUITING

Research Site

Beijing, 100142, China

ACTIVE NOT RECRUITING

Research Site

Beijing, 100210, China

ACTIVE NOT RECRUITING

Research Site

Changchun, 130021, China

WITHDRAWN

Research Site

Changsha, 410013, China

ACTIVE NOT RECRUITING

Research Site

Chengdu, 610042, China

ACTIVE NOT RECRUITING

Research Site

Chongqing, 400030, China

WITHDRAWN

Research Site

Guangzhou, 510100, China

ACTIVE NOT RECRUITING

Research Site

Hangzhou, 310022, China

ACTIVE NOT RECRUITING

Research Site

Harbin, 150049, China

ACTIVE NOT RECRUITING

Research Site

Kunming, 650118, China

ACTIVE NOT RECRUITING

Research Site

Lanzhou, 730000, China

ACTIVE NOT RECRUITING

Research Site

Nanchang, 330006, China

WITHDRAWN

Research Site

Ningbo, 315100, China

ACTIVE NOT RECRUITING

Research Site

Qingdao, 266003, China

ACTIVE NOT RECRUITING

Research Site

Shandong, China

ACTIVE NOT RECRUITING

Research Site

Shanghai, 200032, China

ACTIVE NOT RECRUITING

Research Site

Shenyang, 110044, China

ACTIVE NOT RECRUITING

Research Site

Taiyuan, 030000, China

ACTIVE NOT RECRUITING

Research Site

Taiyuan, 030032, China

ACTIVE NOT RECRUITING

Research Site

Tianjin, 300050, China

ACTIVE NOT RECRUITING

Research Site

Tianjin, 300060, China

ACTIVE NOT RECRUITING

Research Site

Wuhan, 430030, China

ACTIVE NOT RECRUITING

Research Site

Xi'an, 710061, China

COMPLETED

Research Site

Zhengzhou, 450008, China

ACTIVE NOT RECRUITING

Research Site

Zhengzhou, 450052, China

ACTIVE NOT RECRUITING

Research Site

Aarhus N, 8200, Denmark

ACTIVE NOT RECRUITING

Research Site

Copenhagen, 2100, Denmark

ACTIVE NOT RECRUITING

Research Site

Brest, 29200, France

COMPLETED

Research Site

Créteil, 94010, France

ACTIVE NOT RECRUITING

Research Site

Le Mans, 72037, France

ACTIVE NOT RECRUITING

Research Site

Lille, 59037, France

ACTIVE NOT RECRUITING

Research Site

Lyon, 69373, France

ACTIVE NOT RECRUITING

Research Site

Marseille, 13015, France

ACTIVE NOT RECRUITING

Research Site

Montpellier, 34298, France

ACTIVE NOT RECRUITING

Research Site

Paris, 75877, France

ACTIVE NOT RECRUITING

Research Site

Rouen, 76031, France

ACTIVE NOT RECRUITING

Research Site

Saint-Herblain, 44800, France

ACTIVE NOT RECRUITING

Research Site

Strasbourg, 67091, France

ACTIVE NOT RECRUITING

Research Site

Toulouse, 31059, France

ACTIVE NOT RECRUITING

Research Site

Berlin, 13125, Germany

RECRUITING

Research Site

Berlin, 14109, Germany

RECRUITING

Research Site

Bochum, 44791, Germany

RECRUITING

Research Site

Cologne, 51109, Germany

RECRUITING

Research Site

Essen, 45122, Germany

RECRUITING

Research Site

Essen, 45130, Germany

WITHDRAWN

Research Site

Gauting, 82131, Germany

RECRUITING

Research Site

Georgsmarienhütte, 49124, Germany

RECRUITING

Research Site

Großhansdorf, 22927, Germany

RECRUITING

Research Site

Hamburg, 21075, Germany

RECRUITING

Research Site

Heidelberg, 69126, Germany

RECRUITING

Research Site

Kiel, 24105, Germany

RECRUITING

Research Site

Münster, 48153, Germany

RECRUITING

Research Site

Regensburg, 93049, Germany

RECRUITING

Research Site

Alessandria, 15100, Italy

ACTIVE NOT RECRUITING

Research Site

Bari, 70124, Italy

ACTIVE NOT RECRUITING

Research Site

Bergamo, 24125, Italy

ACTIVE NOT RECRUITING

Research Site

Milan, 20141, Italy

ACTIVE NOT RECRUITING

Research Site

Monza, 20052, Italy

ACTIVE NOT RECRUITING

Research Site

Orbassano, 10043, Italy

ACTIVE NOT RECRUITING

Research Site

Padova, 35128, Italy

ACTIVE NOT RECRUITING

Research Site

Parma, 43100, Italy

ACTIVE NOT RECRUITING

Research Site

Rozzano, 20089, Italy

ACTIVE NOT RECRUITING

Research Site

Varese, 21100, Italy

ACTIVE NOT RECRUITING

Research Site

Amagasaki-shi, 660-8550, Japan

ACTIVE NOT RECRUITING

Research Site

Hakodate-shi, 040-8611, Japan

ACTIVE NOT RECRUITING

Research Site

Hiroshima, 734-8551, Japan

ACTIVE NOT RECRUITING

Research Site

Kitaadachi-gun, 362-0806, Japan

ACTIVE NOT RECRUITING

Research Site

Kitakyushu-shi, 807-8555, Japan

ACTIVE NOT RECRUITING

Research Site

Matsuyama, 791-0280, Japan

ACTIVE NOT RECRUITING

Research Site

Nagoya, 466-8560, Japan

ACTIVE NOT RECRUITING

Research Site

Nishinomiya-shi, 663-8501, Japan

ACTIVE NOT RECRUITING

Research Site

Okayama, 702-8055, Japan

ACTIVE NOT RECRUITING

Research Site

Osakasayama-shi, 589-8511, Japan

ACTIVE NOT RECRUITING

Research Site

Tokyo, 104-0045, Japan

ACTIVE NOT RECRUITING

Research Site

Ube-shi, 755-0241, Japan

ACTIVE NOT RECRUITING

Research Site

Amsterdam, 1066CX, Netherlands

ACTIVE NOT RECRUITING

Research Site

Eindhoven, 5623EJ, Netherlands

ACTIVE NOT RECRUITING

Research Site

Rotterdam, 3015 GD, Netherlands

ACTIVE NOT RECRUITING

Research Site

Lørenskog, 1478, Norway

COMPLETED

Research Site

Oslo, 450, Norway

ACTIVE NOT RECRUITING

Research Site

Bydgoszcz, 85-796, Poland

WITHDRAWN

Research Site

Bystra, 43-360, Poland

ACTIVE NOT RECRUITING

Research Site

Olsztyn, 10-357, Poland

ACTIVE NOT RECRUITING

Research Site

Poznan, 60-569, Poland

ACTIVE NOT RECRUITING

Research Site

Rzeszów, 35-241, Poland

WITHDRAWN

Research Site

Warsaw, 02-781, Poland

ACTIVE NOT RECRUITING

Research Site

Cape Town, 7570, South Africa

ACTIVE NOT RECRUITING

Research Site

eManzimtoti, 4126, South Africa

ACTIVE NOT RECRUITING

Research Site

Johannesburg, 2013, South Africa

ACTIVE NOT RECRUITING

Research Site

Johannesburg, 2193, South Africa

ACTIVE NOT RECRUITING

Research Site

Kimberly, 8301, South Africa

ACTIVE NOT RECRUITING

Research Site

Polokwane, 0700, South Africa

WITHDRAWN

Research Site

Pretoria, 0002, South Africa

ACTIVE NOT RECRUITING

Research Site

Pretoria, 0081, South Africa

ACTIVE NOT RECRUITING

Research Site

Cheongju-si, 28644, South Korea

WITHDRAWN

Research Site

Seoul, 03080, South Korea

ACTIVE NOT RECRUITING

Research Site

Seoul, 06351, South Korea

RECRUITING

Research Site

Seoul, 06591, South Korea

RECRUITING

Research Site

Ulsan, 44033, South Korea

WITHDRAWN

Research Site

Barakaldo, 48903, Spain

ACTIVE NOT RECRUITING

Research Site

Barcelona, 8035, Spain

ACTIVE NOT RECRUITING

Research Site

Madrid, 28041, Spain

ACTIVE NOT RECRUITING

Research Site

Oviedo, 33011, Spain

ACTIVE NOT RECRUITING

Research Site

Baden, CH-5405, Switzerland

ACTIVE NOT RECRUITING

Research Site

Basel, 4031, Switzerland

ACTIVE NOT RECRUITING

Research Site

Bern, 3010, Switzerland

ACTIVE NOT RECRUITING

Research Site

Fribourg, 1700, Switzerland

ACTIVE NOT RECRUITING

Research Site

Sankt Gallen, 9007, Switzerland

ACTIVE NOT RECRUITING

Research Site

Kaohsiung City, 80756, Taiwan

ACTIVE NOT RECRUITING

Research Site

Taichung, 40705, Taiwan

ACTIVE NOT RECRUITING

Research Site

Tainan, 70403, Taiwan

WITHDRAWN

Research Site

Taipei, 10002, Taiwan

ACTIVE NOT RECRUITING

Research Site

Taoyuan District, 333, Taiwan

WITHDRAWN

Research Site

Adana, 01060, Turkey (Türkiye)

WITHDRAWN

Research Site

Ankara, 06280, Turkey (Türkiye)

ACTIVE NOT RECRUITING

Research Site

Ankara, 06800, Turkey (Türkiye)

ACTIVE NOT RECRUITING

Research Site

Diyarbakır, 21280, Turkey (Türkiye)

ACTIVE NOT RECRUITING

Research Site

Izmir, 35110, Turkey (Türkiye)

ACTIVE NOT RECRUITING

Research Site

Cambridge, CB20QQ, United Kingdom

ACTIVE NOT RECRUITING

Research Site

Cardiff, Wales, CF5 6NF, United Kingdom

WITHDRAWN

Research Site

Leeds, LS9 7TF, United Kingdom

ACTIVE NOT RECRUITING

Research Site

Leicester, LE1 5WW, United Kingdom

ACTIVE NOT RECRUITING

Research Site

London, NW1 2PG, United Kingdom

ACTIVE NOT RECRUITING

Research Site

London, SE1 9RT, United Kingdom

ACTIVE NOT RECRUITING

Research Site

London, SW3 6JJ, United Kingdom

ACTIVE NOT RECRUITING

Research Site

Manchester, M23 9LT, United Kingdom

ACTIVE NOT RECRUITING

Research Site

Newcastle upon Tyne, NE2 4HH, United Kingdom

ACTIVE NOT RECRUITING

Research Site

Portsmouth, PO6 3LY, United Kingdom

ACTIVE NOT RECRUITING

Research Site

Taunton, TA1 5DA, United Kingdom

ACTIVE NOT RECRUITING

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

Central Study Contacts

AstraZeneca Clinical Study Information Center

CONTACT

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 19, 2027

Study Completion (Estimated)

November 16, 2028

Last Updated

April 28, 2026

Record last verified: 2026-04

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

Locations