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Bortezomib and Cisplatin as First-Line Therapy in Treating Patients With Malignant Mesothelioma

Phase II Study of Bortezomib (VELCADE) With Cisplatin as First Line Treatment of Malignant Mesothelioma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00458913
Enrollment
82
Registered
2007-04-11
Start date
2007-02-28
Completion date
2012-03-31
Last updated
2018-07-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Malignant Mesothelioma

Keywords

localized malignant mesothelioma, recurrent malignant mesothelioma, advanced malignant mesothelioma

Brief summary

RATIONALE: Bortezomib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Drugs used in chemotherapy, such as cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving bortezomib together with cisplatin may kill more tumor cells. PURPOSE: This phase II trial is studying the side effects and how well giving bortezomib together with cisplatin works as first-line therapy in treating patients with malignant mesothelioma.

Detailed description

OBJECTIVES: * Determine the activity and safety of bortezomib and cisplatin as first-line treatment in patients with malignant mesothelioma. * Validate the use of progression-free survival rate as a primary endpoint for the design of phase II mesothelioma trials. OUTLINE: This is a nonrandomized, open-label, multicenter study. Patients receive cisplatin IV over 1 hour on day 1 and bortezomib IV over 3-5 seconds on days 1, 4, 8, and 11. Treatment repeats every 3 weeks for up to 6 courses in the absence of disease progression or unacceptable toxicity. After completion of study therapy, patients are followed periodically. PROJECTED ACCRUAL: A total of 76 patients will be accrued for this study.

Interventions

DRUGbortezomib
DRUGcisplatin

Sponsors

European Organisation for Research and Treatment of Cancer - EORTC
Lead SponsorNETWORK

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 120 Years
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed pleural malignant mesothelioma, meeting 1 of the following criteria: * Recurrent disease after radical surgery * Disease not considered suitable for radical treatment * Measurable or evaluable disease * No clinical evidence of brain or leptomeningeal metastases PATIENT CHARACTERISTICS: * WHO performance status 0-1 * Life expectancy \> 12 weeks * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * Absolute neutrophil count \> 1,500/mm³ * Platelet count \> 100,000/mm³ * Creatinine clearance \> 60 mL/min OR \> 50 mL/min * ALT and AST \< 2.5 times upper limit of normal (ULN) (\< 5 times ULN if liver metastases present) * Bilirubin \< 1.5 times ULN * No concurrent secondary malignancy except carcinoma in situ of the cervix or adequately treated basal cell skin cancer * No other malignancy treated within the past 5 years * Melanoma, breast cancer, or hypernephroma treated within the past 5 years and without recurrence are allowed * No uncontrolled or severe cardiovascular disease, including any of the following: * Myocardial infarction within the past 6 months * New York Heart Association class III-IV heart failure * Uncontrolled angina * Clinically significant pericardial disease or cardiac amyloidosis * No infiltrative pulmonary or pericardial disease * No preexisting peripheral neuropathy * No known or suspected allergy or intolerance to boron, mannitol, or heparin, if an indwelling catheter is used * No psychological, familial, sociological, or geographical condition that would preclude protocol compliance PRIOR CONCURRENT THERAPY: * See Disease Characteristics * No prior systemic chemotherapy for mesothelioma * No other concurrent antineoplastic agents except medications that may have antineoplastic activity but are taken for other reasons (e.g., megestrol acetate, cyclooxygenase-2 inhibitors, or bisphosphonates) * No other concurrent experimental agents

Design outcomes

Primary

MeasureTime frame
Progression-free survival (PFS) rate at 18 weeks

Secondary

MeasureTime frame
Overall objective response rate
Symptomatic response rate
Safety as measured by NCI CTCAE v3.0 and the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity questionnaire
Duration of PFS
Overall survival

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026