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Brief Title: Atezolizumab Versus Placebo for the Adjuvant Treatment of Malignant Pleural Mesothelioma (Atezomeso)
Official Title: PHASE III STUDY WITH ATEZOLIZUMAB VERSUS PLACEBO IN MALIGNANT PLEURAL MESOTHELIOMA PATIENTS AFTER PLEURECTOMY/DECORTICATION
Study ID: NCT04996017
Brief Summary: This is a multicentric double-blind, placebo controlled, phase III trial. In this study, patients who underwent to a surgical resection of pleural mesothelioma and are without signs of macroscopic residual disease will be randomized 2:1 to receive atezolizumab or placebo. Patients will be treated for 12 months or until recurrence, unacceptable toxicity or patient/physician decision, whichever occurs first. Randomization will be done via a centralized system and patients will be stratified histology (epithelioid vs non epithelioid) and stage (I vs \>I). Patients will be radiologically evaluated after surgical procedure before starting therapy and then every 12 weeks for 24 months or until disease progression. At screening patients should be without macroscopic residual disease. Quality of life questionnaire will be administered to patient at baseline and every 12 weeks. During the study baseline tumor blocks will be centrally analyzed to determinate biological characteristics and gene expression.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Istituto Scientifico Romagnolo Per Lo Studio E La Cura Dei Tumori - Irccs, Meldola, ITAòY, Italy
Ospedaliera SS Antonio e Biagio e Cesare Arrigo di Alessandria, Alessandria, , Italy
Istituto Tumori Bari, Bari, , Italy
Azienda Ospedaliera Universitaria Policlinico- Vittorio Emanuele Catania, Catania, , Italy
Ospedale Ss Annunziata, Chieti, , Italy
Azienda Ospedaliero Universitaria di Ferrara, Ferrara, , Italy
Villa Scassi, Genova, , Italy
Ospedale Dell'Angelo, Mestre, , Italy
Azienda Ospedaliera Universitaria Di Modena, Modena, , Italy
Aorn Ospedale Dei Colli, Napoli, , Italy
A.O.U. San Luigi Gonzaga, Orbassano, , Italy
Istituto Oncologico Veneto, Padova, , Italy
Azienda Ospedaliera Universitaria Di Parma, Parma, , Italy
Policlinico San Matteo, Pavia, , Italy
AUSL/IRCCS di Reggio Emilia, Reggio Emilia, , Italy
IRCCS Regina Elena, Roma, , Italy
Humanitas Cancer Center, IRCCS, Rozzano, , Italy
Ospedale S. G. Moscati, Taranto, , Italy
Azientda Sanitaria Universitaria Giuliano Isontina, Trieste, , Italy