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Brief Title: Lurbinectedin Monotherapy in Patients With Progressive Malignant Pleural Mesothelioma.
Official Title: Lurbinectedin Monotherapy in Patients With Progressive Malignant Pleural Mesothelioma. A Multicenter, Single-arm Phase II Trial
Study ID: NCT03213301
Brief Summary: Aim of this study is to provide the "proof of concept" of efficacy and tolerability of lurbinectedin monotherapy in progressive malignant mesotheliomas.
Detailed Description: Malignant mesothelioma arises from the mesothelial cells of the pleural, peritoneal or pericardial lining and is often associated with asbestos exposition. There is no cure for most malignant mesotheliomas and the scope of all three major oncological therapeutic procedures (surgery, radiotherapy and chemotherapy) is to reduce/eliminate symptoms as well as to prolong progression free survival (PFS) and/or overall survival (OS). While progressive patients are still in good health able to undertake a second-line treatment, there is no standard treatment for progressive disease. Lurbinectedin is a novel compound structurally related to trabectedin and with similar mode of action. Pre-clinical data showed a better safety profile than trabectedin. Lurbinectedin has been already tested in different Phase I-II trials showing promising activity in ovarian, pancreatic, breast, small and non-small cell lung cancer as well as in other tumor types, with objective responses averaging 30%, disease stabilization up to 75% and having manageable toxicity. Although lurbinectedin has not been widely tested in mesotheliomas, some mesothelioma patients have been already treated with lurbinectedin where again promising activity has been observed.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
A.O. SS. Antonio e Biagio e Cesare Arrigo, Alessandria, , Italy
Istituto Clinico Humanitas, Rozzano, , Italy
Kantonsspital Baden, Baden, , Switzerland
IOSI Ospedale Regionale di Bellinzona e Valli, Bellinzona, , Switzerland
Kantonsspital Graubuenden, Chur, , Switzerland
Kantonsspital St.Gallen, St. Gallen, , Switzerland
Regionalspital Thun, Thun, , Switzerland
Kantonsspital Winterthur, Winterthur, , Switzerland
Name: Yannis Metaxas, MD
Affiliation: Kantonsspital Graubünden, Chur
Role: STUDY_DIRECTOR
Name: Roger von Moos, Prof
Affiliation: Kantonsspital Graubünden, Chur
Role: STUDY_CHAIR
Name: Miklos Pless, MD
Affiliation: Kantonsspital Winterthur KSW
Role: STUDY_CHAIR
Name: Federica Grosso, MD
Affiliation: SS. Antonio e C. Arrigo Hospital Alessandria (Italy)
Role: STUDY_CHAIR