CClinicalTrials.gg
CompletedNCT00651456MAPSUpdated Mar 13, 2023

Mesothelioma Avastin Plus Pemetrexed-cisplatin Study

A Phase 2/3 interventional study of Standard Chemotherapy (Pemetrexed and Cisplatin) and Standard Chemotherapy (Pemetrexed and Cisplatin) + Bevacizumab in Mesothelioma, sponsored by Intergroupe Francophone de Cancerologie Thoracique. Completed at 81 sites in France. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-03-13.

Sponsored by Intergroupe Francophone de Cancerologie Thoracique · Phase 2/3, Interventional, and Treatment

Phase
Phase 2/3
Study type
Interventional
Enrollment
448
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

Our hypothesis is that the addition of bevacizumab to the standard chemotherapy treatment of MPM will improve overall survival and quality of life beyond that achieved with chemotherapy alone.

Read the detailed description

A phase II trial associating the reference chemotherapy (pemetrexed plus cisplatin) with bevacizumab is needed to ensure that no specific toxicity is induced by this association, and that this triplet have interesting activity. As pleural mesothélioma is a rare tumor, a phase III trial, using the survival data from the phase II part study, will be able to include a sufficient number of patients, in a reasonable period of time, to answer the question of efficacy of the anti-angiogenic triplet, providing the efficacy outcomes could be considered as favorable, at the end of the phase II part of the study.

02

Conditions studied

  • Mesothelioma
03

In context

Mesothelioma

470 studies on the registry are indexed under Mesothelioma; 75 are open to participants now.

This study's enrollment of 448 is above the median of 40 across 371 interventional studies indexed under Mesothelioma.

Browse Mesothelioma studies →

Lead sponsor

Intergroupe Francophone de Cancerologie Thoracique is the lead sponsor of 57 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Malignant, histologically proved, non resectable pleural Mesothelioma
  • In case of pleural effusion, a talc pleurodesis, although not recommended, is allowed in accordance with current local practice, at the time of diagnostic thorascopy, with inclusion CT scan performed after pleurodesis.
  • ECOG Performance status 0-2
  • Mesothelioma with only pleural effusion without uni- or bidimensionally measurable disease will be eligible (adapted RECIST criteria)
  • At least 18 years of age, less than 76 years of age
  • Radiation therapy of thoracocentis tract (3 x 7Gy) performed before beginning medical study treatment, and the interval between thoracoscopic procedure and radiation will not exceed 28 days

Exclusion criteria

Exclusion Criteria:

  • Prior chemotherapy
  • Brain metastasis
  • History of cerebral vascular accident (CVA) or transient ischemic attack
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
448 participants (actual)

Study arms

  • Active comparator
    1

    Standard Chemotherapy

    Drug: Standard Chemotherapy (Pemetrexed and Cisplatin)

  • Experimental
    2

    Standard Chemotherapy + bevacizumab (Avastin)

    Drug: Standard Chemotherapy (Pemetrexed and Cisplatin) + Bevacizumab

Interventions

  • DrugStandard Chemotherapy (Pemetrexed and Cisplatin)

    * Pemetrexed 500 mg/m² with previous Folic acid and vitamin B12 supplementation Day 1 (D1=D22, 6 cycles) * Cisplatin 75 mg/m² Day 1 (D1=D22, 6 cycles)

  • DrugStandard Chemotherapy (Pemetrexed and Cisplatin) + Bevacizumab

    * Pemetrexed 500 mg/m² with previous Folic acid and vitamin B12 supplementation D1 (D1=D22, 6 cycles) * Cisplatin 75 mg/m2 D1 (D1=D22, 6 cycles) * Bevacizumab 15 mg/kg D1 (D1=D22, until progression)

06

What researchers measure

Primary outcomes

  1. % of patients with controled disease (responder and stable patients) at 6 months

    Time frame: 3-month

Secondary outcomes

  1. Overall Survival

    Time frame: month

  2. Number of participants with treatment-related adverse events as assessed by CTCAE v3.0

    Time frame: month

Other outcomes

  1. Medico-economic assessments of drugs (direct/indirect costs)

    Time frame: 3-month

07

Study locations

81 sites
  • Centre Hospitalier du Pays d'Aix
    Aix-en-Provence, France
  • Annemasse - CH
    Ambilly, 74100, France
  • Amiens - CHU
    Amiens, France
  • Clinique de l'Europe
    Amiens, France
  • Angers - CHU
    Angers, 49000, France
  • Auxerre - CH
    Auxerre, 89011, France
  • CHU Besancon - Pneumologie
    Besancon, 25000, France
  • Bobigny - Hôpital Avicenne
    Bobigny, 93000, France
  • Bois-Guillaume - CHU
    Bois-Guillaume, France
  • Boujan sur Libron - Polyclinique Saint-Privat
    Boujan sur Libron, France
  • Hôpital Ambroise Paré - Pneumologie
    Boulogne, France
  • Brest - CHU
    Brest, France
  • Brest - HIA
    Brest, France
  • Béziers - CH
    Béziers, 34525, France
  • Caen - Centre François Baclesse
    Caen, 14000, France
  • CHU - Pneumologie
    Caen, 14000, France
  • Chauny - CH
    Chauny, France
  • Cherbourg - CH
    Cherbourg, France
  • Hôpital Percy-Armées - Pneumologie
    Clamart, 92140, France
  • CHU
    Clermont-Ferrand, France
  • Colmar - CH
    Colmar, 68000, France
  • Créteil - CHI
    Créteil, 94000, France
  • Denain - CH
    Denain, France
  • Centre Georges François Leclerc
    Dijon, France
  • CHU Hôpital du Bocage
    Dijon, France
  • Elbeuf - CH
    Elbeuf, France
  • Evreux - CH
    Evreux, France
  • Flers - CH
    Flers, France
  • CHU Grenoble - pneumologie
    Grenoble, 38000, France
  • Chartres - CH
    Le Coudray, 28630, France
  • Centre Hospitalier - Pneumologie
    Le Havre, 76600, France
  • Le Havre - HPE
    Le Havre, 76700, France
  • Centre Hospitalier - Pneumologie
    Le Mans, 72000, France
  • Le Mans - Clinique Victor Hugo
    Le Mans, France
  • CHU (Hôpital Calmette) - Pneumologie
    Lille, 59000, France
  • Limoges - Hôpital du Cluzeau
    Limoges, 87042, France
  • CH de Longjumeau
    Longjumeau, France
  • Lorient - CHBS
    Lorient, France
  • Centre Léon Bérard
    Lyon, 69000, France
  • HCL - Croix-Rousse
    Lyon, 69000, France
  • APHM - Hôpital Sainte Marguerite
    Marseille, 13000, France
  • Meaux - CH
    Meaux, 77100, France
  • Mont de Marsan - CH
    Mont de Marsan, 40000, France
  • Montpellier - CHRU
    Montpellier, 34295, France
  • Mulhouse - CH
    Mulhouse, 68000, France
  • CHU
    Nancy, France
  • Nantes - Centre René Gauducheau
    Nantes, 44805, France
  • Narbonne - Polyclinique Le Languedoc
    Narbonne, France
  • Nevers - CH
    Nevers, 58033, France
  • Nice - CAC
    Nice, 06000, France
  • Orléans - CH
    Orléans, 45000, France
  • Paray Le Monial - CH
    Paray Le Monial, France
  • Paray Le Monial - Clinique
    Paray Le Monial, France
  • Paris - Saint Louis
    Paris, 75000, France
  • APHP - Hopital Tenon - Pneumologie
    Paris, 75020, France
  • Paris - Curie
    Paris, France
  • Pau - CH
    Pau, 64046, France
  • HCL - Lyon Sud (Pneumologie)
    Pierre Bénite, 69495, France
  • CHU
    Poitiers, France
  • Pontoise - CH
    Pontoise, France
  • Reims - CHU
    Reims, 51092, France
  • Rennes - CHU
    Rennes, 35033, France
  • Roubaix - CH
    Roubaix, 59100, France
  • Rouen - CHU
    Rouen, 76000, France
  • Saint Brieuc - CHG
    Saint Brieuc, 22000, France
  • Institut de Cancérologie de la Loire
    Saint Priest en Jarez, France
  • Saint Quentin - CH
    Saint Quentin, 02100, France
  • Saint-Malo - CH
    Saint-Malo, 35403, France
  • Centre Etienne Dolet
    Saint-Nazaire, France
  • Saint-Nazaire - CH
    Saint-Nazaire, France
  • Strasbourg - NHC
    Strasbourg, 63000, France
  • Suresnes - Hopital Foch
    Suresnes, 92151, France
  • Thonon les bains - CH
    Thonon les bains, 74200, France
  • Toulon - CHI
    Toulon, 83000, France
  • CHU Toulouse - Pneumologie
    Toulouse, France
  • Tours - CHU
    Tours, 37000, France
  • CH Valence
    Valence, France
  • Valenciennes - Clinique
    Valenciennes, 59304, France
  • CHI de la Haute-Saône - Pneumologie
    Vesoul, France
  • CH de Villefranche - Pneumologie
    Villefranche, France
  • Institut Gustave Roussy
    Villejuif, 94805, France
08

References and documents

Publications

  • Zalcman G, Mazieres J, Margery J, Greillier L, Audigier-Valette C, Moro-Sibilot D, Molinier O, Corre R, Monnet I, Gounant V, Riviere F, Janicot H, Gervais R, Locher C, Milleron B, Tran Q, Lebitasy MP, Morin F, Creveuil C, Parienti JJ, Scherpereel A; French Cooperative Thoracic Intergroup (IFCT). Bevacizumab for newly diagnosed pleural mesothelioma in the Mesothelioma Avastin Cisplatin Pemetrexed Study (MAPS): a randomised, controlled, open-label, phase 3 trial. Lancet. 2016 Apr 2;387(10026):1405-1414. doi: 10.1016/S0140-6736(15)01238-6. Epub 2015 Dec 21. Erratum In: Lancet. 2016 Apr 2;387(10026):e24. doi: 10.1016/S0140-6736(16)30084-8. PubMed 26719230 ↗
  • Brosseau S, Danel C, Scherpereel A, Mazieres J, Lantuejoul S, Margery J, Greillier L, Audigier-Valette C, Gounant V, Antoine M, Moro-Sibilot D, Rouquette I, Molinier O, Corre R, Monnet I, Langlais A, Morin F, Bergot E, Zalcman G, Levallet G. Shorter Survival in Malignant Pleural Mesothelioma Patients With High PD-L1 Expression Associated With Sarcomatoid or Biphasic Histology Subtype: A Series of 214 Cases From the Bio-MAPS Cohort. Clin Lung Cancer. 2019 Sep;20(5):e564-e575. doi: 10.1016/j.cllc.2019.04.010. Epub 2019 May 13. PubMed 31279641 ↗
  • Ribi K, Luo W, Colleoni M, Karlsson P, Chirgwin J, Aebi S, Jerusalem G, Neven P, Di Lauro V, Gomez HL, Ruhstaller T, Abdi E, Biganzoli L, Muller B, Barbeaux A, Graas MP, Rabaglio M, Francis PA, Foukakis T, Pagani O, Graiff C, Vorobiof D, Maibach R, Di Leo A, Gelber RD, Goldhirsch A, Coates AS, Regan MM, Bernhard J; SOLE Investigators. Quality of life under extended continuous versus intermittent adjuvant letrozole in lymph node-positive, early breast cancer patients: the SOLE randomised phase 3 trial. Br J Cancer. 2019 May;120(10):959-967. doi: 10.1038/s41416-019-0435-4. Epub 2019 Apr 10. Erratum In: Br J Cancer. 2020 Mar;122(7):1119. doi: 10.1038/s41416-019-0709-x. PubMed 30967649 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00651456
Lead sponsor
Intergroupe Francophone de Cancerologie Thoracique
Collaborators
University Hospital, Caen, Groupe Francais De Pneumo-Cancerologie
Responsible party
Sponsor
First posted
Apr 2, 2008
Start date
Feb 2008
Primary completion
Jan 2015
Completion
Sep 2016
Last update
Mar 13, 2023

Study contacts

Gilles Robinet, Dr
study director · GFPC
Arnaud Scherpereel, Dr
study director · Intergroupe Francophone de Cancerologie Thoracique

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion