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CompletedNCT01211275N08CPAUpdated Feb 28, 2017

Standard Chemotherapy With of Without Axitinib in Malignant Mesothelioma

A Phase 1/2 interventional study of axitinib and chemotherapy in Malignant Pleural Mesothelioma, sponsored by The Netherlands Cancer Institute. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-02-28.

Sponsored by The Netherlands Cancer Institute · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled May 2009, registered Sep 2010).
Phase
Phase 1/2
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the effects of axitinib, a potent angiogenesis inhibitor, on tissue and clinical outcome in combination with chemotherapy given to patients with mesothelioma

Read the detailed description

To determine the effects of the addition of axitinib to standard chemotherapy on tissue samples with respect to micro-vessel density (MVD): expression of VEGF-Receptor; PDGF receptor expression; extent of necrosis and apoptosis.

To determine the safety of the addition of axitinib (to a maximum of the recommended dose of maximally 2 x 10 mg per day) to the standard treatment with cisplatin and pemetrexed.

To determine the feasibility of performing a (second) thoracoscopy after 10 weeks of the combination treatment with cisplatin, pemetrexed and axitinib.

Serum samples will be collected and tested for inhibiting effects in a tube formation and spheroid sprouting assay.

02

Conditions studied

  • Malignant Pleural Mesothelioma

Keywords

  • mesothelioma
  • chemotherapy
  • translational research
  • axitinib
03

In context

Mesothelioma, Malignant

418 studies on the registry are indexed under Mesothelioma, Malignant; 73 are open to participants now.

This study's enrollment of 32 is below the median of 37 across 336 interventional studies indexed under Mesothelioma, Malignant.

Browse Mesothelioma, Malignant studies →

Lead sponsor

The Netherlands Cancer Institute is the lead sponsor of 230 studies on the registry; 66 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • histologically or cytologically diagnosed malignant mesothelioma
  • age > 18 years
  • Medically suitable for limited surgical intervention (pleural biopsies or limited pleurectomy)
  • Measurable or evaluable disease is not required
  • Ability to understand the study and give signed informed consent including the approval to accept a second thoracoscopic or surgical treatment after the third course
  • No previous chemotherapy
  • Radiotherapy is allowed when this is given for palliation, the interval is > 4 weeks, not more than 1/3 of the bone marrow capacity or all tumor is within the irradiation field.
  • WHO performance status =\< 2
  • Adequate organ function as evidenced by the following peripheral blood counts or serum chemistries at study entry:

Hematology:

  • ANC=>1.5 x 109/L,
  • Platelets=>150 x 109/L,
  • Hemoglobin => 6,0 mmol/l

Chemistry:

  • total serum bilirubin \< UNL;
  • AST and ALT= \< 2.5xUNL,
  • AP \< 5xUNL (unless bone metastases are present in the absence or any liver disease)
  • Serum creatinine =\< 2xUNL

Exclusion criteria

Exclusion Criteria:

  • Active uncontrolled infection, severe cardiac dysfunction or uncorrectable bleeding tendency
  • Previous successful pleurodesis
  • Uncontrolled hypertension
  • Symptomatic peripheral neuropathy => grade 2 according to NCIC CTC,version 3.0
  • Presence of symptomatic CNS metastases
  • Unstable peptic ulcer, unstable diabetes mellitus or other serious disabling condition
  • Concomitant administration to any other experimental drugs under investigation
  • Impaired renal function
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    arm 2

    axitinib + cisplatin + premetrexed

    Biological: axitinib

  • Active comparator
    arm 1

    cisplatin + premetrexed

    Drug: chemotherapy

Interventions

  • Biologicalaxitinib

    axitinib: 5 mg BID, day 2 until day 21 of each cycle; cisplatin: 75 mg/m2 day 1, every 3 weeks; pemetrexed: 500 mg/m2 day 1, every 3 weeks.

    Also known as: cisplatin, alimta

  • Drugchemotherapy

    cisplatin: 75 mg/m2 day 1, every 3 weeks; pemetrexed: 500 mg/m2 day 1, every 3 weeks.

    Also known as: cisplatin, alimta

06

What researchers measure

Primary outcomes

  1. To test the impact of the addition of axitinib to standaard chemotherapy treatment on histology samples

    To determine the effects of the addition of axitinib to standard chemotherapy on tissue samples with respect to micro-vessel density (MVD); expression of VEGF-Receptor; PDGF receptor expression; extent of necrosis and apoptosis

    Time frame: micro-vessel density;expression of VEGF and PDGF receptor; extent of necrosis and apoptosis

Secondary outcomes

  1. the side effects of the standard chemotherapy and the additional risks related to axitinib use

    hypertension, fatigue, abdominal discomfort

    Time frame: AE;SAE;SUSAR

07

Study locations

1 site
  • Antoni van Leeuwenhoekziekenhuis (NKI-AVL)
    Amsterdam, North Holland 1066 CX, Netherlands
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 28, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01211275
Collaborators
Pfizer
Responsible party
Sponsor
First posted
Sep 29, 2010
Start date
May 22, 2009
Primary completion
Nov 13, 2012
Completion
May 6, 2013
Last update
Feb 28, 2017

Study contacts

P Baas, Dr.
principal investigator · NKI-AvL

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Axitinib

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