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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-503231-17-00 | Registry Identifier | CTIS (EU) | |
| 2023-000067-32 | EudraCT Number |
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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.
Adult patients with histologically proven diagnosis of pleural mesothelioma with advanced unresectable disease are eligible to be enrolled. Patients will be randomized 1:1 to receive Volrustomig (MEDI5752) + Carboplatin + Pemetrexed or the investigator's choice of platinum+Pemetrexed or Nivolumab+Ipilimumab, based on their histology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Volrustomig + Carboplatin + pemetrexed | Experimental | Volrustomig in combination with carboplatin plus pemetrexed |
|
| 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Volrustomig | Drug | MEDI5752: Administered as IV infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival (OS) | OS is defined as the time from randomization until the date of death due to any cause. | up to approximately 61 months |
| Progression Free Survival (PFS) | PFS is defined as the time from randomization until progression per mRECIST 1.1 and/or RECIST 1.1 as assessed by the investigator at local site, or death due to any cause. |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marjorie G Zauderer, MD | Memorial Slone Kettering (MSK) Cancer Centre | Principal Investigator |
| Arnaud Scherpereel, MD | Lille University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Santa Rosa | California | 95403 | United States | ||
| Research Site |
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.
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.
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.
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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.
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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.
| Pemetrexed | Drug | Alimta: Administered as IV infusion |
|
|
| Carboplatin | Drug | Paraplatin: Administered as IV infusion |
|
|
| Cisplatin | Drug | Platinol: Administered as IV infusion |
|
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| Nivolumab | Drug | Opdivo: Administered as IV infusion |
|
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| Ipilimumab | Drug | Yervoy: Administered as IV infusion |
|
|
| up to approximately 61 months |
| Landmark OS | Landmarks of OS12, OS18, OS24, and OS36. | 12, 18, 24, 36 months |
| Landmark PFS | Landmarks of PFS6, PFS12, PFS18, and PFS24 | 6, 12, 18, 24 months |
| Overall Response Rate (ORR) | Proportion of participants who have a confirmed Complete Response or confirmed Partial Response, as determined by the investigator at local site per mRECIST 1.1 and/or RECIST 1.1. | up to approximately 61 months |
| Duration of Response (DoR) | DoR defined as the time from the date of first documented response until date of documented progression per mRECIST 1.1 and/or RECIST 1.1 as assessed by the investigator at local site or death due to any cause. | up to approximately 61 months |
| PFS2 | PFS2 defined as the time from randomization to the earliest of the progression event (following the initial investigator-assessed progression), after first subsequent therapy, or death. | up to approximately 61 months |
| Patient-reported physical functioning | TTD in physical functioning as measured by PROMIS (Patient Reported Outcomes Measurement Information System) Physical Function Short Form 8c. There are 8 questions each from a scale of 1 (unable to do) to a scale of 5 (With a little difficulty). The higher the scores the better the patient-reported physical functioning is. | up to approximately 61 months. |
| Disease-related symptoms using EORTC IL305 (Q1) | Change from baseline in disease-related symptoms as measured by individual symptom items from the EORTC (European Organisation For Research And Treatment Of Cancer) IL305 (Item Library 305) (Q1). It is scored from a 1 (not at all) to a 4 (very much). The higher the score the higher the disease-related symptoms. | Up to approximately 61 months. |
| Disease-related symptoms using PRO-CTCAE (Q1, 5, 6, 9) | Change from baseline in disease-related symptoms as measured by individual symptom items from the PRO-CTCAE (Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events) (Q1, 5, 6, 9). PRO-CTCAE responses are scored from 0 to 4 (or 0/1 for absent/present). The higher the score the higher the disease-related symptoms. | Up to approximately 61 months |
| Patient-reported role functioning using EORTC QLQ-C30 RF subscale (IL305 Q2 3) | Change from baseline in functioning will be assessed by the following measure: Role functioning: EORTC (European Organisation For Research And Treatment Of Cancer) QLQ (Quality of Life Questionnaire) -C30 RF (Role Functioning) subscale (IL305 Q2 3) (Item Library 305). The questions are from a scale of 1 (not at all) to 4 (very much). The lower the score the higher the patient-reported role functioning is. | up to approximately 61 months |
| Patient-reported HRQoL (Health-related Quality of Life) using EORTC QLQ-C30 HRQoL subscale (IL305 Q7-8) | Change from baseline in functioning will be assessed by the following measure: HRQoL: EORTC (European Organisation For Research And Treatment Of Cancer) QLQ (Quality of Life Questionnaire) -C30 HRQoL subscale (IL305 Q7-8) (Item Library 305). The questions are from a scale of 1 (very poor) to 7 (excellent). The higher the score the higher the HRQoL. | Up to approximately 61 months |
| Immunogenicity of volrustomig | Incidence of Anti-Drug Antibodies against volrustomig. | up to approximately 61 months |
| Incidence of Adverse Events (AEs) AEs graded by CTCAE version 5.0 | Incidence of Adverse Events (AEs) AEs graded by CTCAE (Common Terminology Criteria for Adverse Events) version 5.0. Grade refers to the severity of the AE. The CTCAE displays grade 1 (mild) through 5 (death related to AE). Grade 2 (moderate), Grade 3 (Severe) and Grade 4 (Life-threatening consequences). | Up to approximately 61 months |
| Area under the curve (AUC) | The concentration of MEDI5752 in serum will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered. | Up to approximately 61 months |
| Maximum plasma concentration of the drug (Cmax) | The concentration of MEDI5752 in serum will be determined (Cmax will be derived). | Up to approximately 61 months |
| The time taken to reach the maximum concentration (Tmax) | The concentration of MEDI5752 in serum will be determined (Tmax will be derived). | Up to approximately 61 months |
| Aurora |
| Colorado |
| 80045 |
| United States |
| Research Site | Jacksonville | Florida | 32224 | United States |
| Research Site | Atlanta | Georgia | 30322 | United States |
| Research Site | Chicago | Illinois | 60637 | United States |
| Research Site | Rochester | Minnesota | 55905 | United States |
| Research Site | St Louis | Missouri | 63110 | United States |
| Research Site | Commack | New York | 11725 | United States |
| Research Site | Columbus | Ohio | 43210 | United States |
| Research Site | Portland | Oregon | 97213 | United States |
| Research Site | Portland | Oregon | 97225 | United States |
| Research Site | Philadelphia | Pennsylvania | 19104 | United States |
| Research Site | Houston | Texas | 77030 | United States |
| Research Site | Fairfax | Virginia | 22031 | United States |
| Research Site | Chermside | 4032 | Australia |
| Research Site | Clayton | 3168 | Australia |
| Research Site | Melbourne | 3000 | Australia |
| Research Site | Nedlands | 6009 | Australia |
| Research Site | Westmead | 2145 | Australia |
| Research Site | Anderlecht | 1070 | Belgium |
| Research Site | Antwerp | 2020 | Belgium |
| Research Site | Ghent | 9000 | Belgium |
| Research Site | Hasselt | 3500 | Belgium |
| Research Site | Sint-Niklaas | 9100 | Belgium |
| Research Site | Barretos | 14784-400 | Brazil |
| Research Site | Fortaleza | 60336-045 | Brazil |
| Research Site | Porto Alegre | 91350-200 | Brazil |
| Research Site | Rio de Janeiro | 22281-100 | Brazil |
| Research Site | Santo André | 09060-650 | Brazil |
| Research Site | São Paulo | 01246-000 | Brazil |
| Research Site | Edmonton | Alberta | T6G 1Z2 | Canada |
| Research Site | Ottawa | Ontario | K1H 8L6 | Canada |
| Research Site | Toronto | Ontario | M5G 1X6 | Canada |
| Research Site | Montreal | Quebec | H2X 0C1 | Canada |
| Research Site | Québec | Quebec | G1V 4G5 | Canada |
| Research Site | Beijing | 100142 | China |
| Research Site | Beijing | 100210 | China |
| Research Site | Changsha | 410013 | China |
| Research Site | Chengdu | 610042 | China |
| Research Site | Guangzhou | 510100 | China |
| Research Site | Hangzhou | 310022 | China |
| Research Site | Harbin | 150049 | China |
| Research Site | Kunming | 650118 | China |
| Research Site | Lanzhou | 730000 | China |
| Research Site | Ningbo | 315100 | China |
| Research Site | Qingdao | 266003 | China |
| Research Site | Shandong | China |
| Research Site | Shanghai | 200032 | China |
| Research Site | Shenyang | 110044 | China |
| Research Site | Taiyuan | 030000 | China |
| Research Site | Taiyuan | 030032 | China |
| Research Site | Tianjin | 300050 | China |
| Research Site | Tianjin | 300060 | China |
| Research Site | Wuhan | 430030 | China |
| Research Site | Xi'an | 710061 | China |
| Research Site | Zhengzhou | 450008 | China |
| Research Site | Zhengzhou | 450052 | China |
| Research Site | Aarhus N | 8200 | Denmark |
| Research Site | Copenhagen | 2100 | Denmark |
| Research Site | Brest | 29200 | France |
| Research Site | Créteil | 94010 | France |
| Research Site | Le Mans | 72037 | France |
| Research Site | Lille | 59037 | France |
| Research Site | Lyon | 69373 | France |
| Research Site | Marseille | 13015 | France |
| Research Site | Montpellier | 34298 | France |
| Research Site | Paris | 75877 | France |
| Research Site | Rouen | 76031 | France |
| Research Site | Saint-Herblain | 44800 | France |
| Research Site | Strasbourg | 67091 | France |
| Research Site | Toulouse | 31059 | France |
| Research Site | Berlin | 13125 | Germany |
| Research Site | Berlin | 14109 | Germany |
| Research Site | Bochum | 44791 | Germany |
| Research Site | Cologne | 51109 | Germany |
| Research Site | Essen | 45122 | Germany |
| Research Site | Gauting | 82131 | Germany |
| Research Site | Georgsmarienhütte | 49124 | Germany |
| Research Site | Großhansdorf | 22927 | Germany |
| Research Site | Hamburg | 21075 | Germany |
| Research Site | Heidelberg | 69126 | Germany |
| Research Site | Kiel | 24105 | Germany |
| Research Site | Münster | 48153 | Germany |
| Research Site | Regensburg | 93049 | Germany |
| Research Site | Alessandria | 15100 | Italy |
| Research Site | Bari | 70124 | Italy |
| Research Site | Bergamo | 24125 | Italy |
| Research Site | Milan | 20141 | Italy |
| Research Site | Monza | 20052 | Italy |
| Research Site | Orbassano | 10043 | Italy |
| Research Site | Padova | 35128 | Italy |
| Research Site | Parma | 43100 | Italy |
| Research Site | Rozzano | 20089 | Italy |
| Research Site | Varese | 21100 | Italy |
| Research Site | Amagasaki-shi | 660-8550 | Japan |
| Research Site | Hakodate-shi | 040-8611 | Japan |
| Research Site | Hiroshima | 734-8551 | Japan |
| Research Site | Kitaadachi-gun | 362-0806 | Japan |
| Research Site | Kitakyushu-shi | 807-8555 | Japan |
| Research Site | Matsuyama | 791-0280 | Japan |
| Research Site | Nagoya | 466-8560 | Japan |
| Research Site | Nishinomiya-shi | 663-8501 | Japan |
| Research Site | Okayama | 702-8055 | Japan |
| Research Site | Osakasayama-shi | 589-8511 | Japan |
| Research Site | Tokyo | 104-0045 | Japan |
| Research Site | Ube-shi | 755-0241 | Japan |
| Research Site | Amsterdam | 1066CX | Netherlands |
| Research Site | Eindhoven | 5623EJ | Netherlands |
| Research Site | Rotterdam | 3015 GD | Netherlands |
| Research Site | Lørenskog | 1478 | Norway |
| Research Site | Oslo | 450 | Norway |
| Research Site | Bystra | 43-360 | Poland |
| Research Site | Olsztyn | 10-357 | Poland |
| Research Site | Poznan | 60-569 | Poland |
| Research Site | Warsaw | 02-781 | Poland |
| Research Site | Cape Town | 7570 | South Africa |
| Research Site | eManzimtoti | 4126 | South Africa |
| Research Site | Johannesburg | 2013 | South Africa |
| Research Site | Johannesburg | 2193 | South Africa |
| Research Site | Kimberly | 8301 | South Africa |
| Research Site | Pretoria | 0002 | South Africa |
| Research Site | Pretoria | 0081 | South Africa |
| Research Site | Seoul | 03080 | South Korea |
| Research Site | Seoul | 06351 | South Korea |
| Research Site | Seoul | 06591 | South Korea |
| Research Site | Barakaldo | 48903 | Spain |
| Research Site | Barcelona | 8035 | Spain |
| Research Site | Madrid | 28041 | Spain |
| Research Site | Oviedo | 33011 | Spain |
| Research Site | Baden | CH-5405 | Switzerland |
| Research Site | Basel | 4031 | Switzerland |
| Research Site | Bern | 3010 | Switzerland |
| Research Site | Fribourg | 1700 | Switzerland |
| Research Site | Sankt Gallen | 9007 | Switzerland |
| Research Site | Kaohsiung City | 80756 | Taiwan |
| Research Site | Taichung | 40705 | Taiwan |
| Research Site | Taipei | 10002 | Taiwan |
| Research Site | Ankara | 06280 | Turkey (Türkiye) |
| Research Site | Ankara | 06800 | Turkey (Türkiye) |
| Research Site | Diyarbakır | 21280 | Turkey (Türkiye) |
| Research Site | Izmir | 35110 | Turkey (Türkiye) |
| Research Site | Cambridge | CB20QQ | United Kingdom |
| Research Site | Leeds | LS9 7TF | United Kingdom |
| Research Site | Leicester | LE1 5WW | United Kingdom |
| Research Site | London | NW1 2PG | United Kingdom |
| Research Site | London | SE1 9RT | United Kingdom |
| Research Site | London | SW3 6JJ | United Kingdom |
| Research Site | Manchester | M23 9LT | United Kingdom |
| Research Site | Newcastle upon Tyne | NE2 4HH | United Kingdom |
| Research Site | Portsmouth | PO6 3LY | United Kingdom |
| Research Site | Taunton | TA1 5DA | United Kingdom |
| ID | Term |
|---|---|
| D008654 | Mesothelioma |
| D000086002 | Mesothelioma, Malignant |
| ID | Term |
|---|---|
| D000236 | Adenoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D018301 | Neoplasms, Mesothelial |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D010997 | Pleural Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D000068437 | Pemetrexed |
| D016190 | Carboplatin |
| D002945 | Cisplatin |
| D000077594 | Nivolumab |
| D000074324 | Ipilimumab |
| ID | Term |
|---|---|
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000600 | Amino Acids, Dicarboxylic |
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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