Malignant Pleural Mesothelioma Clinical Trial
Official title:
NGR015: Randomized Double-blind Phase III Study of NGR-hTNF Plus Best Investigator's Choice (BIC) Versus Placebo Plus BIC in Previously Treated Patients With Advanced Malignant Pleural Mesothelioma (MPM)
The main objective of the trial is to document the efficacy of NGR-hTNF administered at low dose weekly in advanced Malignant Pleural Mesothelioma patients previously treated with a pemetrexed-based chemotherapy regimen.
Currently, there are no regulatory-approved or widely accepted treatment options for patients
failing a standard pemetrexed-based chemotherapy regimen.
For this reason, the best supportive care (BSC) alone might be considered as a standard
reference for a randomized phase III trial in this setting.
However, single-agent chemotherapeutic agents (such as doxorubicin,gemcitabine, or
vinorelbine) with a well-documented safety profile and antitumor activity are also used in
clinical practice.
Therefore, the best investigator's choice (BIC) between either best supportive care alone or
combined with a few selected single-agent chemotherapy (including doxorubicin, gemcitabine,
or vinorelbine) might be considered as an acceptable reference arm as well in this setting.
The current phase III study aims to show a superior efficacy in terms of overall survival
duration of NGR-hTNF 0.8 µg/mq weekly plus BIC versus placebo plus BIC in advanced MPM
patients progressing after a standard pemetrexed-based chemotherapy.
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