Clinical Trials
recruiting in the US
88 worldwide · 37 international-only
ClinicalTrials.gov is the global mesothelioma trial registry. Patients in the US can access 51 of 88 directly; the rest run in 23 countries and may still inform care here.
Every trial here comes straight from ClinicalTrials.gov, the official US registry, and the list refreshes every week. We don't rank trials or recommend one over another, and a listing here isn't medical advice. If a trial looks like a fit, bring it to your oncologist or the trial's own contact, who can tell you whether you qualify.
Mesothelioma type
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51 trials currently recruiting
Page 1 of 3- Phase 2US site
Chemotherapy With or Without Immunotherapy for Peritoneal Mesothelioma
National Cancer Institute (NCI)·Phoenix, Arizona · United States + 39 other sites·Target: 66·Updated 2026-07-31·NCT05001880Phase 2 Randomized Trial of Neoadjuvant or Palliative Chemotherapy With or Without Immunotherapy for Peritoneal Mesothelioma
Eligibility
Inclusion Criteria: * Physicians should consider whether any of the following may render the patient inappropriate for this protocol: * Psychiatric illness which would prevent the patient from giving informed consent * Medical conditions such as uncontrolled infection, uncontrolled diabetes mellitus or cardiac disease which, in the opinion of the treating physician, would make this protocol unreasonably hazardous for the patient * Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial * For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated * Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load * Patients with a "currently active" second malignancy other than non-melanoma skin cancers or cervical carcinoma in situ. Patients are not considered to have a "currently active" malignancy if they have completed therapy and are free of disease for \>= 3 years * In addition: * Women and men of reproductive potential should agree to use an appropriate method of birth control throughout their participation in this study due to the teratogenic potential of the therapy utilized in this trial. Appropriate methods of birth control include abstinence, oral contraceptives, implantable hormonal contraceptives or double barrier method (diaphragm plus condom) * A female of childbearing potential is a sexually mature female who: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months) * Histologically or cytologically confirmed malignant peritoneal mesothelioma for which there has been no prior treatment. Given the indolent nature of well-differentiated papillary mesothelioma and multicystic mesothelioma, patients with these variants are not eligible for participation * Must have measurable disease per RECIST version (v) 1.1 * Not pregnant and not nursing, because this study involves an agent that has known genotoxic, mutagenic and teratogenic effects. Therefore, for women of childbearing potential only, a negative pregnancy test done =\< 28 days prior to registration is required * Age \>= 18 years * Eastern Cooperative Oncology Group (ECOG) performance status 0-1 * Leukocytes \>= 2,500/mm\^3 * Absolute neutrophil count (ANC) \>= 1,500/mm\^3 * Platelet count \>= 100,000/mm\^3 * Creatinine clearance \>= 45 mL/min/1.73 m\^2 for patients with creatinine levels above institutional normal * Total bilirubin =\< 1.5 x upper limit of normal (ULN) * Aspartate aminotransferase (AST) / alanine aminotransferase (ALT) =\< 3.0 x upper limit of normal (ULN) * Urine protein/creatinine (UPC) ratio \< 1, or urine protein: =\< 1+ * No prior systemic therapy for peritoneal mesothelioma is allowed. No concurrent radiotherapy is allowed * No active or history of autoimmune disease or immune deficiency, including, but not limited to, myasthenia gravis, myositis, autoimmune hepatitis, systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, antiphospholipid antibody syndrome, Wegener granulomatosis, Sjogren syndrome, Guillain-Barre syndrome, or multiple sclerosis, with the following exceptions: * Patients with a history of autoimmune-related hypothyroidism who are on thyroid-replacement hormone are eligible for the study * Patients with controlled Type 1 diabetes mellitus who are on an insulin regimen are eligible for the study * Patients with eczema, psoriasis, lichen simplex chronicus, or vitiligo with dermatologic manifestations only (e.g., patients with psoriatic arthritis are excluded) are eligible for the study provided all of following conditions are met: * Rash must cover \< 10% of body surface area * Disease is well controlled at baseline and requires only low-potency topical corticosteroids * No occurrence of acute exacerbations of the underlying condition requiring psoralen plus ultraviolet A radiation, methotrexate, retinoids, biologic agents, oral calcineurin inhibitors, or high-potency or oral corticosteroids within the previous 12 months * No history of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan * No prior allogeneic stem cell or solid organ transplantation * Central nervous system (CNS) metastases must have been treated with local therapy (surgery, radiation, ablation) with systemic steroids tapered to a physiologic dose (10 mg or prednisone equivalent or less) * Patients who have received live attenuated vaccines within 30 days of the first dose of trial treatment are eligible at the discretion of the investigator. All seasonal influenza vaccines and vaccines intended to prevent SARS-CoV-2 and coronavirus disease 2019 (COVID-19) are allowed * No history of inadequately controlled hypertension (defined as systolic blood pressure \> 150 mmHg and/or diastolic blood pressure \> 100 mmHg) * No history of hypertensive crisis or hypertensive encephalopathy * No clinically significant cardiovascular disease, such as cerebrovascular accidents within 12 months prior to randomization, myocardial infarction within 12 months prior to randomization, unstable angina, New York Heart Association (NYHA) grade II or greater congestive heart failure (CHF), or serious cardiac arrhythmia uncontrolled by medication or potentially interfering with study treatment * No significant vascular disease (e.g., aortic aneurysm requiring surgical repair or recent arterial thrombosis) within 6 months prior to randomization * No history of grade \>= 4 venous thromboembolism * No history or evidence upon physical or neurological examination of central nervous system disease (e.g. seizures) unrelated to cancer unless adequately treated with standard medical therapy * No history of grade \>= 2 hemoptysis (defined as \>= 2.5 mL of bright red blood per episode) within 1 month prior to screening * No history or evidence of inherited bleeding diathesis or significant coagulopathy at risk of bleeding (i.e., in the absence of therapeutic anticoagulation) * No major surgical procedure or significant traumatic injury within 28 days prior to initiation of study treatment (diagnostic laparoscopy is allowed as part of diagnosing peritoneal mesothelioma) * No core biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to initiation of study treatment * Placement of a vascular access device should be at least 2 days prior to initiation of study treatment * No active infection requiring IV antibiotics at the time of initiation of study treatment * No history of abdominal fistula, gastrointestinal (GI) perforation, intra-abdominal abscess, or active GI bleeding within 6 months prior to randomization * No serious, non-healing wound, active ulcer, or untreated bone fracture * No other malignancy within 5 years prior to randomization, except for localized cancer in situ, such as basal or squamous cell skin cancer * Patients with a creatinine clearance between 45 and 79 mL/min should not use ibuprofen or other nonsteroidal anti-inflammatory drug (NSAIDs) for 2 days before, the day of, and 2 days following pemetrexed administration * No treatment with immunosuppressive medication (including, but not limited to, corticosteroids, cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-TNF-alpha agents) within 2 weeks prior to initiation of study treatment, or anticipation of need for systemic immunosuppressive medication during study treatment, with the following exceptions: * Patients who received acute, low-dose systemic immunosuppressant medication or a one-time pulse dose of systemic immunosuppressant medication (e.g., 48 hours of corticosteroids for a contrast allergy) may be eligible for the study * Patients who received mineralocorticoids (e.g., fludrocortisone), corticosteroids for chronic obstructive pulmonary disease (COPD) or asthma, or low-dose corticosteroids for orthostatic hypotension or adrenal insufficiency are eligible for the studyTreatment
- BiologicalAtezolizumabGiven IV
- BiologicalBevacizumabGiven IV
- ProcedureBiospecimen CollectionUndergo blood and tissue sample collection
- DrugCarboplatinGiven IV
- ProcedureComputed TomographyUndergo CT scan
- ProcedureCytoreductive SurgeryUndergo surgery
- DrugHyperthermic Intraperitoneal ChemotherapyUndergo HIPEC
- DrugPemetrexedGiven IV
- ProcedurePositron Emission TomographyUndergo PET scan
All sites (40)
- Mayo Clinic Hospital in ArizonaPhoenix, Arizona, United StatesSUSPENDED
- Alliance for Clinical Trials in OncologyChicago, Illinois, United StatesRECRUITING
- University of Chicago Comprehensive Cancer CenterChicago, Illinois, United StatesRECRUITING
- Carle at The RiverfrontDanville, Illinois, United StatesRECRUITING
- Carle Physician Group-EffinghamEffingham, Illinois, United StatesRECRUITING
- Carle Physician Group-Mattoon/CharlestonMattoon, Illinois, United StatesRECRUITING
- Carle Cancer CenterUrbana, Illinois, United StatesRECRUITING
- The Carle Foundation HospitalUrbana, Illinois, United StatesRECRUITING
- University of Kentucky/Markey Cancer CenterLexington, Kentucky, United StatesACTIVE_NOT_RECRUITING
- Sanford Joe Lueken Cancer CenterBemidji, Minnesota, United StatesRECRUITING
- Mercy HospitalCoon Rapids, Minnesota, United StatesRECRUITING
- Fairview Southdale HospitalEdina, Minnesota, United StatesRECRUITING
- Unity HospitalFridley, Minnesota, United StatesACTIVE_NOT_RECRUITING
- Abbott-Northwestern HospitalMinneapolis, Minnesota, United StatesRECRUITING
- Mayo Clinic in RochesterRochester, Minnesota, United StatesRECRUITING
- Park Nicollet Clinic - Saint Louis ParkSaint Louis Park, Minnesota, United StatesRECRUITING
- Regions HospitalSaint Paul, Minnesota, United StatesRECRUITING
- United HospitalSaint Paul, Minnesota, United StatesRECRUITING
- Rice Memorial HospitalWillmar, Minnesota, United StatesRECRUITING
- Sanford Cancer Center WorthingtonWorthington, Minnesota, United StatesRECRUITING
- Sanford Bismarck Medical CenterBismarck, North Dakota, United StatesRECRUITING
- Sanford Broadway Medical CenterFargo, North Dakota, United StatesRECRUITING
- Sanford Roger Maris Cancer CenterFargo, North Dakota, United StatesRECRUITING
- Ohio State University Comprehensive Cancer CenterColumbus, Ohio, United StatesRECRUITING
- University of Oklahoma Health Sciences CenterOklahoma City, Oklahoma, United StatesRECRUITING
- UPMC Hillman Cancer CenterPittsburgh, Pennsylvania, United StatesRECRUITING
- Sanford Cancer Center Oncology ClinicSioux Falls, South Dakota, United StatesRECRUITING
- Sanford USD Medical Center - Sioux FallsSioux Falls, South Dakota, United StatesRECRUITING
- UT MD Anderson - The WoodlandsConroe, Texas, United StatesRECRUITING
- UT MD Anderson Cancer CenterHouston, Texas, United StatesSUSPENDED
- UT MD Anderson - West HoustonHouston, Texas, United StatesRECRUITING
- UT MD Anderson - League CityLeague City, Texas, United StatesRECRUITING
- UT MD Anderson - Sugar LandSugar Land, Texas, United StatesRECRUITING
- ThedaCare Regional Cancer CenterAppleton, Wisconsin, United StatesRECRUITING
- Marshfield Medical Center-EC Cancer CenterEau Claire, Wisconsin, United StatesRECRUITING
- Marshfield Medical Center-MarshfieldMarshfield, Wisconsin, United StatesRECRUITING
- Marshfield Medical Center - MinocquaMinocqua, Wisconsin, United StatesRECRUITING
- Marshfield Medical Center-Rice LakeRice Lake, Wisconsin, United StatesRECRUITING
- Marshfield Medical Center-River Region at Stevens PointStevens Point, Wisconsin, United StatesRECRUITING
- Marshfield Medical Center - WestonWeston, Wisconsin, United StatesRECRUITING
- N/AUS site
Evaluation of Cell Changes in Blood and Tissue in Cancers of the Lung, Esophagus and Lung Lining
National Cancer Institute (NCI)·Bethesda, Maryland · United States·Target: 1,559·Updated 2026-07-31·NCT00242723Prospective Evaluation of Genetic and Epigenetic Alterations in Patients With Thoracic Malignancies
Eligibility
* INCLUSION CRITERIA: Individuals with potentially malignant or suspicious lesions, or with biopsy proven lung cancers or esophageal cancers, malignant pleural mesotheliomas, mediastinal or chest wall neoplasms, thymoma/thymic carcinomas, or thoracic metastases from cancers of non-thoracic origin. Individuals must have an ECOG performance score of 0-2. Participants must: -Have physical examination parameters within acceptable limits by standard of practice guidelines prior to clinically indicated surgical procedure (e.g., biopsy or surgery), and -Be aware of the nature of his/her illness, and -Must be willing to undergo clinically indicated standard intervention that may include endoscopic biopsies of tumor and adjacent normal tissues (i.e., other tissue necessary to obtain negative margins per standard of care surgical processes) as a part of their standard of care treatment plan. Participants must agree to provide blood and urine samples to support ongoing laboratory research endeavors pertaining to the epigenetics of thoracic malignancies. Individuals must be 2 years of age or older. Note: Individuals \>= 2 and \< 18 years of age may only participate in research sample collection if the tissue acquisition is performed during a clinically indicated surgical procedure (e.g., biopsy or surgery), and the biospecimen sampling (e.g., blood, urine, \[clinically indicated\] resected tumor tissue) does not add risk to the clinically indicated procedures. Ability of participant, their parents/guardians or legally authorized representative (LAR) to understand and the willingness to sign a written informed consent document. EXCLUSION CRITERIA: None.
Treatment
Intervention details pending.
- Phase 1US site
Individual Response to Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Treatment of Peritoneal Carcinomatosis From Peritoneal Mesothelioma or Atypical Mesothelial Proliferation or From Ovarian, Colorectal, or Appendiceal Histologies
National Cancer Institute (NCI)·Bethesda, Maryland · United States·Target: 60·Updated 2026-07-28·NCT04847063Individualized Response Assessment to Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for the Treatment of Peritoneal Carcinomatosis From Peritoneal Mesothelioma or Atypical Mesothelial Proliferation or From Ovarian, Colorectal, or Appendiceal Primaries
Eligibility
* INCLUSION CRITERIA: * Confirmation of peritoneal carcinomatosis from peritoneal mesothelioma or atypical mesothelial proliferation, or from appendiceal, colorectal, or ovarian, histologies by the Laboratory of Pathology, NCI. * Measurable or evaluable disease as defined by RECIST v1.1. criteria and/or by peritoneal carcinomatosis index (PCI) score. * Participants must be assessed to be able to undergo optimal cytoreduction (i.e., completeness of cytoreduction score of 1 or 0) with laparoscopically assessed PCI score threshold as indicated below: * Primary Histology: Appendiceal/Colorectal/Ovarian / PCI Cutoff for Eligibility: Total Score \< 20 (out of 39 possible points) * Primary Histology: Mesothelioma or atypical mesothelial proliferation / PCI Cutoff for Eligibility: Total Score \<= 30 (out of 39 possible points) * Age \>= 18 years. * ECOG performance status \<= 1 (Karnofsky \>= 80%). * Participants must have adequate organ and marrow function as defined below: * Absolute neutrophil count \>= 1,000/mcL * Platelets \>= 75,000/mcL * Total bilirubin within \<=1.5x institutional upper limit of normal (ULN) * AST (SGOT)/ ALT (SGPT) \<= 3x institutional upper limit of normal (ULN), or \<= 5.0x ULN in participants with liver metastases (only) * Creatinine within normal institutional limits OR --Creatinine clearance \>= 60 mL/min/1.73 m\^2 for participants with creatinine levels above institutional normal calculated using eGFR. * Because therapeutic agents used in this trial are known to be teratogenic, individuals of child-bearing potential (IOCBP) and individuals who are able to father a child must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for 180 days after last study treatment. * Ability of participant to understand and the willingness to sign a written informed consent document. * Ability and willingness of the participant to co-enroll on the tissue collection protocol 13C0176, Tumor, Normal Tissue and Specimens from Patients Undergoing Evaluation or Surgical Resection of Solid Tumors . EXCLUSION CRITERIA: * Participants with known extra-abdominal metastatic disease from the participant s appendiceal, colorectal, ovarian, or peritoneal mesothelioma primary. * Participants who have received intraperitoneal chemotherapy or other anti-cancer therapy within the last 4 weeks prior to the start of study treatment. * Participants who have undergone major surgery within the last 12 weeks prior to the start of study treatment. * History of allergic reactions attributed to platinum-containing compounds. * History of dihydropyrimidine dehydrogenase deficiency (only participants with appendiceal or colorectal cancer). * Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. * Pregnant individuals are excluded from this study because the protocol involves major abdominal surgery and chemotherapeutic agents with the potential for teratogenic or abortifacient effects. Note: Due to an unknown but potential risk for adverse events in nursing infants secondary to treatment of the participant, nursing (including breastfeeding) should be discontinued if the participant is undergoing treatment (i.e., nursing participants must agree to discontinue nursing activities). * HIV-positive participants with detectable viral load despite antiretroviral therapy are ineligible because of participants increased risk of lethal infections when treated with marrow-suppressive therapy. HIV-positive participants who have undetectable viral load on antiretroviral therapy may be considered for this study only after consultation with a NIAID physician.
Treatment
- DrugSodium ThiosulfatePart of Arms 3 and 4, for cisplatin-based HIPEC: intravenous sodium thiosulfate given as a loading dose of 7.5 g/m2 in 150 mL 0.9% sodium chloride at the time of introducing cisplatin into the perfusion circuit, followed by a 12-hour pump-based infusion of 25.56 g/m2 in 1 L 0.9% sodium chloride
- Drug5-FluorouracilPart of Arm 1, for oxaliplatin-based HIPEC: intravenous 5-fluorouracil given at a dose of 400 mg/m2 in 250 mL 0.9% sodium chloride over 10 minutes, co-administered with intravenous leucovorin at 20 mg/m2 in a separate bag of 250 mL 0.9% sodium chloride
- DrugOxaliplatinArm 1, intraperitoneal (IP) Oxaliplatin: 200 mg/m2 for 90 minutes, mixed in 250 mL of 5% dextrose solution. For oxaliplatin-based HIPEC, intravenous 5-fluorouracil given at a dose of 400 mg/m2 in 250 mL 0.9% sodium chloride over 10 minutes, co-administered with intravenous leucovorin at 20 mg/m2 in a separate bag of 250 mL 0.9% sodium chloride
- DrugDoxorubicinPart of Arm 3: intraperitoneal (IP) Doxorubicin co-therapy 15 mg/m2 for 60 minutes, given at time = 0 with cisplatin
- ProcedureHyperthermic Intraperitonial ChemotherapyHyperthermic Intraperitonial Chemotherapy (HIPEC) with with standardized doses of chemotherapeutic agents as indicated by the subject's Arm assignment
- DrugCisplatinPart of Arms 3 and 4, intraperitoneal (IP)cisplatin co-therapy: 75 mg/m2 for 60 minutes, mixed in 1 L of 0.9% sodium chloride. For cisplatin-based HIPEC, intravenous sodium thiosulfate given as a loading dose of 7.5 g/m2 in 150 mL 0.9% sodium chloride at the time of introducing cisplatin into the perfusion circuit, followed by a 12-hour pump-based infusion of 25.56 g/m2 in 1 L 0.9% sodium chloride
- DrugMitomycin CArm 2, intraperitoneal (IP) Mitomycin C monotherapy: dosing divided into two 60-mL syringes, 30 mg per syringe. 30 mg will be given at time = 0, and the remaining 10 mg of the dose will be given at time = 60 minutes. Part of Arm 4: Mitomycin C co-therapy 15 mg/m2 for 60 minutes, given at time = 0 with cisplatin
- N/AUS site
Long Term Follow-Up of Patients With Mesothelioma and Individuals With Germline Mutations in BAP1
National Cancer Institute (NCI)·Bethesda, Maryland · United States·Target: 1,000·Updated 2026-07-27·NCT03830229Eligibility
* Inclusion Criteria for Genetic Testing: Cohort 1: * Participant with pathology confirming a diagnosis of mesothelioma. * Participant must have a deleterious germline BAP1 mutation. Results from either research or clinical analyses are sufficient for this criterion. OR * Participant with mesothelioma otherwise eligible for genetic testing in Cohort 2 * Age \>= 2 years Cohort 2: -Individual with a germline BAP1 mutation who does not have a history of mesothelioma (other cancers are allowed). Results from either research or clinical analyses are sufficient for this criterion. OR -Individual with no history of mesothelioma with: --A biological first degree relative (living or deceased) with a history of mesothelioma OR --A first degree biological relative with a CLIA (or equivalent) confirmed germline mutation in BAP1 OR --A second degree biological relative with a CLIA (or equivalent) confirmed germline mutation in BAP1 if relevant first degree relative is deceased or unavailable for testing, OR --A second degree biological relative with mesothelioma and a CLIA (or equivalent) confirmed germline mutation in BAP1 -Age \>= 2 years All participants must understand and be willing to sign a written informed consent Exclusion Criteria for Genetic Testing None Inclusion Criteria for Surveillance: Inclusion Criteria for Surveillance * Genetic testing criteria including age restrictions for respective cohorts must be met. * Participants in Cohort 1 may be enrolled with positive results for germline BAP1 mutation regardless of CLIA (or equivalent) confirmation * Participants in Cohort 2: * must have CLIA (or equivalent) confirmed germline BAP1 mutation Exclusion Criteria for Surveillance None
Treatment
Intervention details pending.
- Phase 1US site
A Study of IDE892 as Monotherapy and Combination in MTAP-deleted Advanced Solid Tumors
IDEAYA Biosciences·Santa Rosa, California · United States + 15 other sites·Target: 260·Updated 2026-07-23·NCT07277413A Multicenter Study Evaluating the Safety, Efficacy, and Pharmacokinetics of IDE892 as Monotherapy and Combination Therapy in Participants With MTAP-Deleted Advanced Solid Tumors
Eligibility
Inclusion Criteria: * Are ≥ 18 years of age (or the minimum age of consent in accordance with local regulations) at the time of signing the ICF. * Have a histologically confirmed diagnosis of a locally advanced recurrent or metastatic solid tumor type of interest with MTAP deletion (for dose escalation: mesothelioma \[pleural or peritoneal\], gastroesophageal cancers \[squamous and adenocarcinoma of esophagus, gastric adenocarcinoma, gastroesophageal junction cancers\], pancreatic adenocarcinoma and biliary tract carcinomas (intrahepatic and extrahepatic cholangiocarcinoma, and gallbladder cancer), NSCLC \[adenocarcinoma, squamous cell carcinoma, and adeno-squamous\] or UC \[including mixed urothelial-squamous histology\]; for dose expansion: NSCLC that has progressed on at least one prior line of treatment and for which additional effective standard therapy is not available or for which the participant is not a candidate due to intolerance). * Are willing and able to provide blood/tumor tissue samples for biomarker testing. An archival tumor tissue specimen must be provided for central confirmation of MTAP loss. * Must be willing and able to provide the blood/serum/plasma samples * Have evidence of homozygous loss of MTAP or MTAP deletion (pre-screening available after signing pre-screening ICF) * Have at least 1 measurable lesion according to RECIST version 1.1 * Have Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) score of 0 or 1 * Have life expectancy \> 3 months * Have adequate bone marrow and organ function * Able to swallow and retain orally administered study drug/IMP. * Are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures * Male and female: willing to use contraception Exclusion Criteria: * Known symptomatic brain metastases requiring supraphysiologic doses of systemic corticosteroids * Have a known primary central nervous system (CNS) malignancy * Have had other malignancies within 2 years prior to the first dose, with some exceptions * Impaired cardiac function or clinically significant cardiac diseases * Have presence of uncontrolled pleural, peritoneal, or pericardial effusion within 2 weeks before the first study dose, requiring recurrent drainage procedures or an indwelling drainage catheter * Have a history of severe infections within 4 weeks prior to the start of study treatment * Hypertension (e.g., \> 150/100 mmHg) that cannot be controlled by medications despite optimal medical therapy * Other acute or chronic medical or psychiatric condition * Have a history of immunodeficiency, with a positive human immunodeficiency virus(HIV) test at screening * Known or suspected viral hepatitis with a positive test at screening * Had an adverse reaction to a previous antitumor treatment that has not recovered to CTCAE Grade ≤ 1 * Have received chemotherapy within 4 weeks of the first dose of IMP; immunotherapy or biologic targeted antitumor treatments within 2 weeks before the first dose of IMP; small molecule inhibitors within 2 weeks before the first dose of IMP, or other investigational products within 4 weeks * Current radiation-related toxicity or radiation therapy within 2 weeks before the first dose of IMP * Administration of any of the following within 2 weeks before the first dose of IDE892 as a monotherapy: Strong inhibitors or inducers of cytochrome P450, Strong inhibitors of P-glycoprotein, Narrow therapeutic index and sensitive substrates of multidrug and toxin extrusion (MATE)1 and MATE2-K, Narrow therapeutic index and sensitive substrates of P-gp and breast cancer resistance protein * Administration of any of the following within 2 weeks before the first dose of IDE892: Strong inhibitors or inducers of CYP3A4/5, Strong inhibitors of P-gp and/or BCRP, Narrow therapeutic index and sensitive substrates of MATE1 and MATE2-K, Narrow therapeutic index and sensitive substrates of P-gp and BCRP * Use of proton pump inhibitors (PPIs) within 7 days prior to the first dose of IMP or planned use during the study * Use of drugs with known risk for QT prolongation within 2 weeks prior to the first dose of IDE892 * Previous treatment with a Amethionine adenosyltransferase 2A (MAT2A) inhibitor and/or Protein arginine N-methyltransferase (PRMT) inhibitor * Major surgery within 4 weeks before study entry * Prior irradiation to \> 25% of the bone marrow * Known or suspected hypersensitivity to IDE892 Disease-Specific Eligibility Criteria Eligibility Criteria for Participants with NSCLC (All Parts) * Must have histologically confirmed diagnosis of advanced or metastatic NSCLC that has progressed after prior treatment with platinum chemotherapy and a PD-1/PD-L1 inhibitor (unless contraindicated or participant developed intolerance) in the metastatic setting * Treatment with no more than 3 prior lines in the setting of advanced or metastatic disease. * If considered standard of care and available, participants whose cancers have proven targetable oncogene alterations must have had disease progression on (unless contraindicated or participant developed intolerance) at least 1 prior line containing appropriate targeted therapy. Eligibility Criteria for Participants with Urothelial Cancer (Bladder and Upper Urinary Tract), Mesothelioma (Pleural or Peritoneal), Pancreatic Adenocarcinoma or Biliary Tract Carcinomas (Intrahepatic and Extrahepatic Cholangiocarcinoma, and Gallbladder Cancer) (Parts 1 and 3) * Must have histologically confirmed diagnosis of advanced or metastatic UC, mesothelioma, gastroesophageal cancer or pancreatic and biliary tract tumors * Must have progressed following at least 1 prior line of therapy * Treatment with no more than 3 prior lines in the setting of advanced or metastatic disease
Treatment
- DrugIDE892IDE892 is an inhibitor of the Protein arginine methyltransferase 5 (PRMT5) that is being developed by IDEAYA Biosciences, Inc. as an anticancer therapeutic for patients with advanced or metastatic cancer harboring MTAP deletions.
- DrugIDE397IDE397 is an oral MAT2A inhibitor that is being developed by IDEAYA Biosciences, Inc. as an anticancer therapeutic for patients with advanced or metastatic cancer harboring MTAP deletions. In this study, IDE397 will be evaluated in combination with IDE892 (Parts 3 and 4) in participants with MTAP-deleted advanced solid tumors.
All sites (16)
- Providence Medical FoundationSanta Rosa, California, United StatesRECRUITING
- Johns Hopkins Sibley Memorial HospitalWashington D.C., District of Columbia, United StatesRECRUITING
- BRCR Global-Coral SpringsCoral Springs, Florida, United StatesRECRUITING
- Sarah Cannon Research Institute at Florida Cancer SpecialistsOrlando, Florida, United StatesRECRUITING
- Nebraska Cancer SpecialistsOmaha, Nebraska, United StatesRECRUITING
- START Astera, LLCEast Brunswick, New Jersey, United StatesRECRUITING
- Columbia University Irving Medical CenterNew York, New York, United StatesRECRUITING
- Sidney Kimmel Comprehensive Cancer Center Thomas Jefferson UniversityPhiladelphia, Pennsylvania, United StatesRECRUITING
- Sarah Cannon Research InstituteNashville, Tennessee, United StatesRECRUITING
- START Dallas Fort WorthFort Worth, Texas, United StatesRECRUITING
- MD AndersonHouston, Texas, United StatesRECRUITING
- NEXT Oncology HoustonHouston, Texas, United StatesRECRUITING
- NEXT Oncology DallasIrving, Texas, United StatesRECRUITING
- START Mountain Region, LLCWest Valley City, Utah, United StatesRECRUITING
- NEXT Oncology VirginiaFairfax, Virginia, United StatesRECRUITING
- Swedish Cancer InstituteSeattle, Washington, United StatesRECRUITING
- Phase 2US site
A Study of Additional Chemotherapy After Surgery for People With Malignant Peritoneal Mesothelioma
Memorial Sloan Kettering Cancer Center·Chicago, Illinois · United States + 12 other sites·Target: 64·Updated 2026-07-21·NCT06057935ICARuS II (Intraperitoneal Chemotherapy After cytoReductive Surgery): A Multicenter, Randomized Phase II Trial of Normothermic Intraperitoneal Chemotherapy and Intravenous Chemotherapy After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Malignant Peritoneal Mesothelioma
Eligibility
Inclusion Criteria: * Patient age 18 years or older, both sexes. * Clinical diagnosis of MPM at enrolling institution. * Prior to randomization, intraoperative pathologic confirmation of epithelioid MPM at enrolling institution. * Complete or near-complete CRS achieved. * Patient must be planning to undergo complete cytoreduction of all peritoneal disease. * ECOG performance status ≤ 1. * Hematology: ANC ≥ 1,500/µl. * Platelets \> 75,000/µl. * Adequate renal function: creatinine \< 1.5× the upper limit of normal (ULN) or calculated creatinine clearance of ≥50 ml/min. * Adequate hepatic function: bilirubin \< 1.5 mg/dl (except in patients with Gilbert's syndrome, who must have total bilirubin \< 3.0 mg/dL). * Women of childbearing potential with a negative pregnancy test result (urine or blood) who agree to use an effective contraceptive method. Reliable contraception should be used from trial screening and must be continued throughout the study. A woman of childbearing potential is defined as one who is biologically capable of becoming pregnant. * A man participating in this study must agree to utilize a reliable barrier form of contraception for the duration of the study * Signed and dated written informed consent to participate in this clinical trial must be obtained prior to any study procedure. Exclusion Criteria: * Subjects who have previously undergone intraperitoneal chemotherapy or systemic chemotherapy for peritoneal mesothelioma. * Subjects who have previously received platinum-containing chemotherapy regimens. * Subjects with preoperative or intraoperative biopsy consistent with sarcomatoid mesothelioma, well-differentiated papillary mesothelioma, or benign multicystic mesothelioma. * Other prior malignancies, except for cured non-melanoma skin cancer, curatively treated in situ carcinoma of the cervix, adequately treated malignancies for which there has been no evidence of activity for more than three years, or indolent tumors for which observation over two years is a reasonable option. * High suspicion for extra-abdominal metastases. * Women who are pregnant or lactating. * Active coronary artery disease (defined as unstable angina or a positive cardiac stress test). Subjects with a history of coronary artery disease may be included if they have had a normal stress test within 60 days of enrollment or are determined by a cardiologist to be of acceptable perioperative risk. * Uncontrolled hypertension defined as \>140/90 and not cleared for surgery at the time of consent. * New York Heart Association (NYHA) Class II or higher congestive heart failure; restrictive or obstructive pulmonary disease that would limit study compliance or place the patient at unacceptable risk for participation in the study. * History of cerebrovascular disease that would limit study compliance or place the patient at unacceptable risk for participation in the study. * Subjects with other concurrent severe medical problems unrelated to the malignancy that would significantly limit full compliance with the study or place them at an unacceptable risk for participation in the study. * Patients with known cisplatin, carboplatin, pemetrexed or mitomycin allergy. * Evidence of extensive intraperitoneal adhesions at the time of surgery which prohibits intraperitoneal therapy, as determined by the operating surgeon. * Any condition that would preclude the ability to deliver appropriate IP therapy. * Use of an oral medication, lacking a suitable non-oral substitute, that if held for up to ten days, would be felt an unacceptable risk by the investigator. * Life expectancy \< 12 weeks.
Treatment
- DrugPemetrexedPemetrexed will be administered intravenously
- DrugCisplatinCisplatin will be administered intravenously
- DrugCarboplatinPossible substitution with carboplatin based on clinician discretion
All sites (13)
- University of Chicago (Data Collection Only)Chicago, Illinois, United StatesRECRUITING
- University of Michigan (Data Collection Only)Ann Arbor, Michigan, United StatesNOT_YET_RECRUITING
- Washington University (Data Collection Only)St Louis, Missouri, United StatesNOT_YET_RECRUITING
- University of Nebraska (Data collection only)Omaha, Nebraska, United StatesNOT_YET_RECRUITING
- Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)Basking Ridge, New Jersey, United StatesRECRUITING
- Memorial Sloan Kettering Monmouth (Limited Protocol Activities)Middletown, New Jersey, United StatesRECRUITING
- Memorial Sloan Kettering Bergen (Limited Protocol Activities)Montvale, New Jersey, United StatesRECRUITING
- Rutgers University (Data Collection Only)New Brunswick, New Jersey, United StatesNOT_YET_RECRUITING
- Memorial Sloan Kettering Commack (Limited Protocol Activities)Commack, New York, United StatesRECRUITING
- Memorial Sloan Kettering Westchester (Limited Protocol Activites)Harrison, New York, United StatesRECRUITING
- Memorial Sloan Kettering Cancer Center (All Protocol Activities)New York, New York, United StatesRECRUITING
- Memorial Sloan Kettering Nassau (Limited Protocol Activities)Uniondale, New York, United StatesRECRUITING
- Allegheny Health Network (Data Collection Only)Pittsburgh, Pennsylvania, United StatesRECRUITING
- Phase 1/2US site
A Study of Tulmimetostat DZR123 (CPI-0209) in Patients With Advanced Solid Tumors and Lymphomas
Novartis Pharmaceuticals·Tampa, Florida · United States + 80 other sites·Target: 300·Updated 2026-07-17·NCT04104776A Phase 1/2 Study of DZR123 (CPI-0209) in Patients With Advanced Solid Tumors and Lymphomas
Eligibility
Key Inclusion Criteria: All Patients: * Adults aged ≥18 years with life expectancy ≥12 weeks * ECOG performance status 0-1 * Adequate recovery from prior therapy-related toxicities (Grade ≤1, with exceptions) * Adequate bone marrow, renal, and hepatic function per protocol-defined thresholds * Willingness to provide tumor tissue and blood samples for biomarker analyses * Agreement to protocol-specified contraception requirements * Signed informed consent prior to study procedures Disease-Specific Inclusion Criteria: Phase 1 (Dose Escalation): * Histologically or cytologically confirmed locally advanced or metastatic solid tumors or lymphoma * Disease refractory to standard therapy or with no available effective standard treatment * For prostate cancer: castrate testosterone levels maintained throughout the study Phase 2 (Disease-Specific Cohorts): * M1: ARID1A mutant urothelial carcinoma or other ARID1A mutant solid tumors (with cohort specific prior therapy and RECIST 1.1 measurable disease requirements) * M2: ARID1A mutant ovarian clear cell carcinoma after prior platinum-based therapy (and bevacizumab unless contraindicated) * M3: ARID1A mutant recurrent/metastatic endometrial carcinoma after platinum therapy and appropriate immunotherapy * M4: Relapsed/refractory peripheral T cell lymphoma or diffuse large B cell lymphoma, transplant-ineligible, with measurable disease * M5: Relapsed/refractory pleural or peritoneal mesothelioma with documented BAP1 loss * M6: Metastatic castration-resistant prostate cancer (mCRPC) with documented progression after AR targeted therapy and taxane chemotherapy * M7: ARID1A wild type endometrial carcinoma (exploratory food-effect cohort) * M8: mCRPC treated with DZR123 in combination with enzalutamide, with cohort specific requirements for prior androgen receptor pathway inhibitor and chemotherapy exposure Key Exclusion Criteria: All Patients: Medical Conditions: * Prior solid organ or allogeneic hematopoietic cell transplant * Active or untreated symptomatic CNS metastases (with limited exceptions) * Clinically significant cardiovascular disease, including uncontrolled arrhythmias or prolonged QTc * Active interstitial lung disease or pneumonitis * Uncontrolled infections or significant gastrointestinal disorders affecting absorption * Active HIV or hepatitis B/C infection * Concurrent malignancy requiring active treatment (with protocol-defined exceptions) * Pregnancy, breastfeeding, or inability to comply with protocol requirements Prior or Concomitant Therapy: * Recent anticancer therapy within protocol-defined washout periods * Prior EZH2 inhibitor treatment * Recent radiation or liver-directed therapies outside allowed windows * Use of strong CYP3A4/5 inhibitors or inducers Additional Cohort-Specific Exclusions: * M6 (mCRPC): Bone-only disease, unstable bone lesions, PSA-lowering herbal products, recent prohibited prostate cancer therapies * M8 (Combination): PSA-only disease, prior investigational androgen receptor pathway inhibitors, significant seizure risk, extensive prior bone marrow irradiation, active inflammatory gastrointestinal disease
Treatment
- DrugTulmimetostatTulmimetostat dosed once per day orally in 28 day cycles
- DrugEnzalutamideEnzalutamide dosed once per day orally in 28 day cycles
All sites (81)
- H. Lee Moffitt Cancer Center and Research InstituteTampa, Florida, United StatesWITHDRAWN
- Emory University School of MedicineAtlanta, Georgia, United StatesRECRUITING
- University of ChicagoChicago, Illinois, United StatesRECRUITING
- Loyola University Medical CenterMaywood, Illinois, United StatesWITHDRAWN
- University of Maryland Medical CtrBaltimore, Maryland, United StatesWITHDRAWN
- Massachusetts General Hospital (MGH)Boston, Massachusetts, United StatesRECRUITING
- Dana Farber Cancer Institute (HARVARD)Boston, Massachusetts, United StatesCOMPLETED
- University of Michigan Rogel Cancer CenterAnn Arbor, Michigan, United StatesWITHDRAWN
- Hackensack University Medical CenterHackensack, New Jersey, United StatesCOMPLETED
- Roswell Park Cancer InstituteBuffalo, New York, United StatesWITHDRAWN
- NYU Langone Medical CenterNew York, New York, United StatesCOMPLETED
- Weill Medical College of Cornell UniversityNew York, New York, United StatesWITHDRAWN
- Memorial Sloan Kettering Cancer CenterNew York, New York, United StatesWITHDRAWN
- University of Rochester Medical CenterRochester, New York, United StatesWITHDRAWN
- Montefiore Einstein Center for Cancer Care (MECCC)The Bronx, New York, United StatesWITHDRAWN
- University of Cincinnati Cancer InstituteCincinnati, Ohio, United StatesWITHDRAWN
- Abramson Cancer Center of the University of PennsylvaniaPhiladelphia, Pennsylvania, United StatesRECRUITING
- South Texas Accelerated Research Therapeutics (START) - San AntonioSan Antonio, Texas, United StatesCOMPLETED
- South Texas Accelerated Research Therapeutics (START) - Midwest LocationSan Antonio, Texas, United StatesACTIVE_NOT_RECRUITING
- University of Virginia Health System (UVAHS)Charlottesville, Virginia, United StatesRECRUITING
- Swedish Cancer InstituteSeattle, Washington, United StatesRECRUITING
- Fred Hutchinson Cancer CenterSeattle, Washington, United StatesRECRUITING
- CHU Bordeaux Hopital Saint AndreBordeaux, FranceWITHDRAWN
- CLCC Institut BergonieBordeaux, FranceRECRUITING
- Centre Oscar LambretLille, FranceRECRUITING
- Centre Leon BerardLyon, FranceRECRUITING
- CHU Nantes Hopital Hotel DieuNantes, FranceRECRUITING
- CHU Nantes Hopital Hotel DieuNantes, FranceRECRUITING
- CHU Nantes Hopital Nord LaennecSaint-Herblain, FranceRECRUITING
- Institut Cancerologie de StrasbourgStrasbourg, FranceRECRUITING
- CLCC Institut Gustave RoussyVillejuif, FranceRECRUITING
- Azienda Ospedaliero Universitaria di Bologna - Policlinico S. Orsola-MalpighiBologna, ItalyCOMPLETED
- Fondazione IRCCS Istituto Nazionale Dei TumoriMilan, ItalyWITHDRAWN
- National Cancer Institute, IRCCSMilan, ItalyRECRUITING
- European Institute of Oncology (IEO), IRCCS ( Department of Urogenital and Head-and-Neck Medical Oncology)Milan, ItalyRECRUITING
- European Institute of Oncology (IEO), IRCCSMilan, ItalyCOMPLETED
- Humanitas San Pio XMilan, ItalyRECRUITING
- IRCCS Policlinico Universitario Fondazione Agostino GemelliRoma, ItalyRECRUITING
- IRCCS Istituto Clinico Humanitas - Research HospitalRozzano, ItalyRECRUITING
- Uniwersyteckie Centrum Kliniczne GUMedGdansk, PolandRECRUITING
- Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut BadawczyGliwice, PolandCOMPLETED
- Pratia MCMKrakow, PolandWITHDRAWN
- Institute of Polish Mother Health Centre - ICZMPLodz, PolandWITHDRAWN
- Centrum Medyczne Pratia - PoznanPoznan, PolandCOMPLETED
- University Teaching HospitalPoznan, PolandRECRUITING
- Novartis Investigative SiteDaegu, South KoreaWITHDRAWN
- National Cancer CenterGoyang-si Gyeonggi-do, South KoreaCOMPLETED
- Gachon University Gil Medical CenterIncheon, South KoreaRECRUITING
- Seoul National University HospitalSeoul, South KoreaRECRUITING
- Yonsei Univ Health System YUCMSeoul, South KoreaRECRUITING
- Asan Medical CenterSeoul, South KoreaRECRUITING
- Gangnam Severance HospitalSeoul, South KoreaRECRUITING
- The Catholic University of Korea, Yeouido St. Mary's HospitalSeoul, South KoreaWITHDRAWN
- Hospital Vall d HebronBarcelona, SpainRECRUITING
- Hospital Clinic of BarcelonaBarcelona, SpainRECRUITING
- Catalan Institute of OncologyBarcelona, SpainWITHDRAWN
- Hospital Universitari de Girona Doctor Josep TruetaGirona, SpainRECRUITING
- University Hospital Ramon y CajalMadrid, SpainRECRUITING
- University Hospital Clinical San Carlos, Department of Medical OncologyMadrid, SpainRECRUITING
- University Hospital Foundation Jimenez DiazMadrid, SpainRECRUITING
- Hospital Universitario 12 de OctubreMadrid, SpainCOMPLETED
- Puerta de Hierro Majadahonda University HospitalMajadahonda, SpainRECRUITING
- Hospital Universitario Son EspasesPalma, SpainRECRUITING
- Clinica Universidad de NavarraPamplona, SpainRECRUITING
- Clinica Universidad de NavarraPamplona, SpainRECRUITING
- Hospital Universitario Quirónsalud MadridPozuelo de Alarcón, SpainRECRUITING
- Parc Taulí Hospital UniversitariSabadell, SpainRECRUITING
- Hematology Department - Hospital Universitario de Salamanca, IBSAL, CIBERONCSalamanca, SpainCOMPLETED
- Santiago Clinic Hospital CHUSSantiago de Compostela, SpainRECRUITING
- Hospital Virgen del RocioSeville, SpainRECRUITING
- Instituto Valenciano de OncologiaValencia, SpainRECRUITING
- La Fe University and Polytechnic HospitalValencia, SpainRECRUITING
- Royal United Hospital Bath NHS TrustBath, United KingdomWITHDRAWN
- Leicester General HospitalLeicester, United KingdomRECRUITING
- Imperial College Healthcare NHS TrustLondon, United KingdomWITHDRAWN
- The Christie NHS Foundation TrustManchester, United KingdomCOMPLETED
- Churchill HospitalOxford, United KingdomWITHDRAWN
- Southampton General HospitalSouthampton, United KingdomWITHDRAWN
- The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital (RMH)Sutton, United KingdomCOMPLETED
- The Royal Marsden NHS Foundation Trust - Royal Marsden Hospital (RMH)Sutton, United KingdomWITHDRAWN
- Musgrove Park HospitalTaunton, United KingdomCOMPLETED
- Phase 1US site
SW-682 in Advanced Solid Tumors
SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany·Scottsdale, Arizona · United States + 7 other sites·Target: 186·Updated 2026-07-17·NCT06251310A Phase 1a/1b Dose Escalation, Dose Expansion Study of SW-682 in Participants With Advanced Solid Tumors Enriched for Those With Hippo Pathway Mutations
Eligibility
Key Inclusion Criteria: * Histologically confirmed, metastatic, or unresectable solid cancer that has either not responded to or progressed during or after appropriate prior systemic anticancer therapy including chemotherapy, immunotherapy, radiation therapy, or appropriate targeted therapy, or for which there is no treatment available or prior SOC therapy was not tolerated and for which there is no further SOC treatment available * Part 1: must have one of the following: * Mesothelioma with or without NF2 mutations * Advanced solid tumors with NF2 mutations * Advanced solid tumors with other Hippo pathway mutations or fusions (e.g., FAT1, LATS1/2, YAP fusions; WWTR1-CAMTA1 in EHE). * Part 2: must have the tumor histology and oncogenic mutation or genomic aberration specific to each dose expansion cohort defined below: * Cohort 1: Participants with mesothelioma with or without NF2 mutations * Cohort 2: Participants with advanced solid tumors with NF2 mutations * Cohort 3: Participants with advanced solid tumors with other Hippo pathway mutations identified during Part 1 (Phase 1a) dose escalation * Cohort 4: SW-682 with appropriate combination therapy. * In both parts, participants should have known oncogenic mutation identified by Next Generation Sequencing or local assay * Must have archival tumor tissue or agree to a fresh tumor biopsy at screening * Measurable disease per RECIST 1.1 * Eastern Cooperative Oncology Group (ECOG) performance status of ≤1 * Adequate bone marrow, kidney, hepatic, and coagulation function Key Exclusion Criteria: * Evidence of symptomatic CNS metastases, leptomeningeal carcinomatosis, or untreated spinal cord compression * Clinically significant cardiac disease or abnormal cardiac parameters * Preexistence or inheritance of a familial renal syndrome * Concomitant non-anti-arrhythmic medications that are known to prolong the QTc interval * Concomitant medicines that are known strong/moderate inhibitors or inducers of cytochrome P450 3A4 (CYP3A4) and/or CYP1A2 within 14 days or 5 half-lives before the first dose of study treatment * Concomitant medicines that are known sensitive substrates of CYP3A4, CYP2C19, CYP2D6, CYP1A2, and/or CYP2B6 within 14 days or 5 half-lives before the first dose of study treatment * Concomitant medicines that are known sensitive substrates of PGP, BCRP, OATP1B1, OATP1B3, OAT1, OAT3, MATE1, MATE2-K, OCT2 * Clinically significant active infection (bacterial, fungal, or viral)
Treatment
- DrugSW-682SW-682 tablet administered orally
- DrugCombination TherapyAppropriate combination therapy
All sites (8)
- HonorHealth Research InstituteScottsdale, Arizona, United StatesRECRUITING
- USC Norris Comprehensive Cancer Center and HospitalLos Angeles, California, United StatesRECRUITING
- UC San Diego Moores Cancer CenterSacramento, California, United StatesRECRUITING
- UCLA Hematology-Oncology - Santa MonicaSanta Monica, California, United StatesRECRUITING
- University Hospital of ClevelandCleveland, Ohio, United StatesRECRUITING
- Oregon Health and Science University, Knight Cancer Institute - Marquam HillPortland, Oregon, United StatesRECRUITING
- Mary Crowley Research Center US OncologyDallas, Texas, United StatesRECRUITING
- U.T. MD Anderson Cancer CenterHouston, Texas, United StatesRECRUITING
- Phase 1US site
A Study of SHY-ONC6, a Novel Proteasome Inhibitor, in Adults With Advanced or Metastatic Solid Tumors
SHY Therapeutics·Denver, Colorado · United States + 2 other sites·Target: 30·Updated 2026-07-15·NCT07705334A Phase 1 Multicenter, Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of SHY-ONC6 in Participants With Advanced or Metastatic Solid Tumors
Eligibility
Inclusion Criteria: * Male or female ≥18 years of age. * Life expectancy \>3 months. * ECOG performance status 0-1. * Histologically/cytologically confirmed advanced or metastatic solid tumors that have progressed on or are intolerant/unsuitable for standard therapies. Eligible tumor types: TNBC, HR+ breast cancer, colon cancer, gastric cancer, HCC, NSCLC (adeno and squamous), mesothelioma, pancreatic cancer, HRPC, soft tissue sarcoma; other tumor types after Medical Monitor discussion. Stable CNS metastases ≥4 weeks post-radiotherapy and off steroids ≥14 days are permitted. * ≥1 measurable lesion per RECIST v1.1 (prostate cancer with bone-only disease and elevated PSA assessed by PCWG3). * Accessible tumor for biopsy * Adequate organ/bone marrow function. * Willingness and ability to provide informed consent. * Negative serum pregnancy test and use of effective contraception through 90 days after last dose for women of childbearing potential. * Male participants must use barrier contraception or abstinence and not donate sperm through 90 days after last dose. Exclusion Criteria: * High-risk cardiovascular disease. * Concurrent anti-cancer treatment. * Active infection requiring systemic treatment within 2 weeks pre-dose. * History of another malignancy (with standard exceptions for in situ disease, non-melanoma skin cancers, and remission ≥2 years). * Active HBV (HBV-DNA \>ULN), HCV (HCV-RNA \>ULN), or HIV (well-controlled HIV with CD4 ≥350 cells/µL and undetectable viral load permitted); AIDS-defining opportunistic infection within 12 months. * Compromised pulmonary function within 6 months pre-dose . * Pregnancy or breastfeeding. * Recent radiotherapy, systemic anti-tumor therapy, other investigational therapy without appropriate washout. * Major surgery ≤4 weeks pre-dose. * Unable to swallow tablets or conditions affecting GI absorption. * Any medical or psychiatric disorders affecting compliance and/or interpretation of study results. * Persistent toxicities from prior anti-cancer therapy (exceptions apply) * Clinically significant corneal disease. * Unable to comply with prohibited concomitant medication restrictions.
Treatment
- DrugSHY-ONC6Participants receive SHY-ONC6 administered orally once daily in 21-day cycles. SHY-ONC6 will be administered until the participant withdraws from study, experiences unacceptable toxicity or other safety event, or their disease progresses.
All sites (3)
- SCRI at HCA HealthONEDenver, Colorado, United StatesNOT_YET_RECRUITING
- The University of Texas MD Anderson Cancer CenterHouston, Texas, United StatesNOT_YET_RECRUITING
- NEXT OncologySan Antonio, Texas, United StatesRECRUITING
- N/AUS site
Tissue Procurement and Natural History Study of Patients With Malignant Mesothelioma
National Cancer Institute (NCI)·Bethesda, Maryland · United States·Target: 1,000·Updated 2026-07-09·NCT01950572Tissue Procurement and Natural History Study of Patients With Malignant Mesothelioma and Other Mesothelin Expressing Cancers
Eligibility
* INCLUSION CRITERIA: * All participants \>= 2 years of age with malignant mesothelioma. * All participants \>=18 years of age with thymic carcinoma, pancreatic or biliary adenocarcinoma or lung, gastric or ovarian cancers or other solid tumor known to express mesothelin. * Confirmed pathological diagnosis is required * Ability and willingness of participant to provide informed consent to participation. EXCLUSION CRITERIA: * Active symptomatic major organ disorder that would increase the risk of biopsy, including but not limited to ischemic heart disease, recent myocardial infarction, active congestive heart failure, pulmonary dysfunction. * Pregnant women. * Active concomitant medical or psychological illnesses that may increase the risk to the participant or in adult participants, inability to obtain informed consent, at the discretion of the principal investigator.
Treatment
Intervention details pending.
- Phase 1US site
A Phase 1 Clinical Study of NXP900 in Subjects With Advanced Cancers
Nuvectis Pharma, Inc.·Phoenix, Arizona · United States + 14 other sites·Target: 140·Updated 2026-07-09·NCT05873686Eligibility
Part A Inclusion Criteria: 1. Provide written informed consent. 2. 18 years old or older. 3. Advanced, metastatic, and/or progressive solid tumors for whom there is no authorized or effective therapy available, or for whom such therapies are considered inappropriate by the Investigator. 4. Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. 5. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. Exclusion Criteria: 1. Subjects with known human epidermal growth factor receptor 2 (HER2+) overexpressing malignancies. 2. Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days, (42 days for nitrosoureas, mitomycin-C) of first dose of NXP900. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer. 3. Ongoing toxic manifestations of previous treatments \> Grade 2 with the exception of alopecia and neuropathy. 4. Subjects with treated brain metastases with evidence of progression within 28 days after central nervous system (CNS)-directed treatment, as ascertained by clinical examination and brain imaging (magnetic resonance imaging \[MRI\] or computed tomography \[CT\] scan) during the Screening period. 5. Female subjects who can become pregnant (or are already pregnant or lactating), unless they have a negative serum pregnancy test before enrollment and agree to use at least one highly effective form of contraception . 6. Male subjects with partners of childbearing potential, unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide). 7. Major surgery from which the subject has not yet recovered. Part B: Inclusion Criteria: 1. Provide written informed consent. 2. 18 years old or older. 3. Advanced, metastatic, and/or progressive solid tumors with pathogenic molecular alterations: 1. Non-small cell lung cancer (adenocarcinoma); YES1, TYMS amplification or FAT1 pathogenic mutation 2. Non-small cell lung cancer (squamous cell carcinoma); YES1, TYMS amplification or FAT1 pathogenic mutation 3. Renal cancer; NF2 pathogenic mutation 4. Mesothelioma; NF2 pathogenic mutation 5. Other solid tumors with a NF2, FAT1 or LATS1 pathogenic gene mutation or TYMS, YAP1, YES1, or TAZ1 gene amplification, or cholangiocarcinoma with IDH1 or IDH2 mutations. 4. Must have received 1-3 prior therapies appropriate for their tumor type and stage of disease 5. Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (or mRECIST 1.1 for subjects with pleural mesothelioma). 6. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. Exclusion Criteria: 1. Subjects with the following combination of cancer type and pathogenic molecular alterations are excluded: 1. Subjects with colorectal cancer, glioma, melanoma, or anaplastic thyroid conditions with BRAF mutations. 2. Subjects with NSCLC with BRAF or EGFR mutations or HER2 overexpression. 3. Subjects with breast cancer, gastric cancer, esophageal junction adenocarcinoma or biliary cancer with HER2 alterations, 2. Subjects with anal, penile, cervical or head and neck cancers with a prior history of human papilloma virus (HPV) infection. 3. Radiotherapy (except for palliative reasons), endocrine therapy, chemotherapy, or investigational agent within 28 days (42 days for nitrosoureas, mitomycin-C) prior to first dose of NXP900. Subjects can continue to receive bisphosphonates due to metastatic bone disease or GnRH agonists if they have prostate cancer. 4. Ongoing toxic manifestations of previous treatments \> Grade 2 with the exception of alopecia and neuropathy. 5. Female subjects who can become pregnant (or are already pregnant or lactating), unless they have a negative serum pregnancy test before enrollment and agree to use at least one highly effective form of contraception . 6. Male subjects with partners of childbearing potential, unless they agree to take measures not to father children by using a barrier method of contraception (condom plus spermicide). 7. Major surgery from which the subject has not yet recovered.
Treatment
- DrugNXP900NXP900 is an orally administered SRC/YES1 kinase inhibitor
All sites (15)
- Mayo ClinicPhoenix, Arizona, United StatesRECRUITING
- UC San Diego Moores Cancer CenterLa Jolla, California, United StatesRECRUITING
- Sarah Cannon Research Institute at HealthONEDenver, Colorado, United StatesRECRUITING
- Mayo ClinicJacksonville, Florida, United StatesRECRUITING
- University of ChicagoChicago, Illinois, United StatesRECRUITING
- Mayo Clinic RochesterRochester, Minnesota, United StatesRECRUITING
- Memorial Sloan Kettering Cancer CenterNew York, New York, United StatesRECRUITING
- Cleveland ClinicCleveland, Ohio, United StatesRECRUITING
- Oregon Health and Science UniversityPortland, Oregon, United StatesRECRUITING
- The University of Texas MD Anderson Cancer CenterHouston, Texas, United StatesRECRUITING
- NEXT Oncology HoustonHouston, Texas, United StatesRECRUITING
- NEXT Oncology DallasIrving, Texas, United StatesRECRUITING
- NEXT Oncology VirginiaFairfax, Virginia, United StatesRECRUITING
- Western General Hospital - NHS LothianEdinburgh, United KingdomCOMPLETED
- The Royal Marsden NHS Foundation and TrustLondon, United KingdomCOMPLETED
- Phase 1/2US site
Rinatabart Sesutecan (Rina-S, PRO1184, GEN1184) for Advanced Solid Tumors (GCT1184-01/ PRO1184-001)
Genmab·Phoenix, Arizona · United States + 65 other sites·Target: 884·Updated 2026-07-07·NCT05579366Phase 1/2 Study of Rina-S in Patients With Locally Advanced and/or Metastatic Solid Tumors
Eligibility
Inclusion Criteria: Part A and B: * Histologically or cytologically confirmed metastatic or unresectable solid malignancy including ovarian cancer (must have epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer), endometrial cancer, non-small cell lung cancer (Part A), EGFR-mutated NSCLC (Part B), breast cancer (hormone receptor positive, HER2-negative and triple-negative) (Part A), mesothelioma or cervical cancer (Part B). * Previously received therapies known to confer clinical benefit. * Measurable disease per RECIST v1.1 for all tumor types other than pleural mesothelioma which will use mRECIST v1.1 at baseline. Part C, E, and H: Participants must have histologically or cytologically confirmed metastatic or unresectable epithelial ovarian cancer as specified below. * High grade serous ovarian cancer, primary peritoneal cancer, or fallopian tube cancer (excluding endometrioid, clear cell carcinomas, mucinous, low grade, and those with a sarcomatous or neuroendocrine element) * Participants must have received up to 3 prior lines of therapy. Participants may have had up to to 4 prior lines of therapy are allowed if MIRV is locally approved and was used as the last line of therapy. Participants must have progressed radiographically on or after their most recent line of therapy. * Participants must have platinum-resistant ovarian cancer. * Participants must have received prior bevacizumab or approved biosimilar. * Participants with known or suspected deleterious germline or somatic BRCA mutations (as determined by Food and Drug Administration \[FDA\]-approved test in a Clinical Laboratory Improvement Amendments \[CLIA\]-certified laboratory; or locally approved equivalent) and who achieved a complete or partial response to platinum-based chemotherapy must have been treated with a poly ADP-ribose polymerase (PARP) inhibitor as maintenance treatment. * Measurable disease per the RECIST v1.1 at baseline. Part D: Cohort D1: * Participants must have platinum-sensitive ovarian cancer. * Participants must have received 1 to 3 prior lines of therapy. Cohort D2: * Participants must have primary platinum-refractory, platinum-resistant, or platinum-sensitive ovarian cancer. * Participants with primary platinum-refractory ovarian cancer must have received ≤2 prior lines of therapy. Primary platinum-refractory ovarian cancer is defined as a lack of response or by progression within 91 days after completing front-line platinum containing therapy. * Participants must have received 1 to 3 prior lines of therapy for platinum-resistant ovarian cancer (PROC), and up to 4 prior lines of therapy for platinum-sensitive ovarian cancer (PSOC). Prior treatments may have included bevacizumab, PARP inhibitor, and MIRV. * Participants with PSOC must have disease progression on or after maintenance treatment, or at least 6 months (\>183 days) or more from the last dose of platinum-based therapy. Cohort D3: • Endometrial cancer (any subtype excluding sarcoma). Cohort D4: • Primary advanced or recurrent endometrial cancer (any subtype excluding sarcoma and neuroendocrine tumors). Part F and G: * Participants must have histologically or cytologically confirmed EC. * Recurrent progressive EC (any subtype excluding neuroendocrine tumors, carcinosarcoma, or endometrial sarcoma) following prior therapy. * Participants must have received 1 to 3 prior lines of therapy, and must have progressed radiographically on or after their most recent line of therapy: * Participants must have received prior platinum-based chemotherapy and a programmed death-ligand 1 (PD-\[L\])1 inhibitor. * Participants who progress \>12 months after completion of prior adjuvant or neoadjuvant platinum-based chemotherapy must receive 1 additional cytotoxic systemic treatment prior to enrollment in this study. * Hormonal therapy alone (i.e., without chemotherapy) will not be counted as a separate line of therapy. * Measurable disease per the RECIST Version 1.1 at baseline. Part I: * Participants must have histologically or cytologically confirmed high grade serous or endometrioid epithelial ovarian cancer, fallopian tube cancer and primary peritoneal cancer (excluding clear cell, mucinous, or sarcomatous histology, mixed tumors containing any of the above histologies or low grade/borderline ovarian tumors). * Participants must have platinum sensitive ovarian cancer. * Measurable disease per the RECIST Version 1.1 at baseline. Part J: * Participants must have high grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer including serous, endometrioid, and clear cell carcinomas, and excluding mucinous, low grade, and those with a sarcomatous or neuroendocrine element. * Measurable disease per the RECIST Version 1.1 at baseline. Part K: * Participants must have histologically or cytologically confirmed metastatic or unresectable ovarian cancer (must have high grade epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer including serous, endometrioid, and clear cell carcinomas, and excluding mucinous, low grade, and those with a sarcomatous or neuroendocrine element). * Participants must have primary platinum-refractory, platinum-resistant, or platinum-sensitive ovarian cancer. * Measurable disease per the RECIST Version 1.1 at baseline. Exclusion Criteria: * History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids within the past 2 years, has current ILD/pneumonitis, or where suspected ILD/pneumonitis cannot be ruled out by imaging at screening. * Prior therapy with a topoisomerase 1 inhibitor-based antibody drug conjugate. Note: Other protocol-defined inclusion/exclusion may apply.
Treatment
- DrugRina-SIntravenous infusion of Rina-S
- DrugCarboplatinCarboplatin intravenous infusion
- DrugBevacizumabBevacizumab intravenous infusion
- DrugPembrolizumabPembrolizumab intravenous infusion
All sites (66)
- USOR HonorHealthPhoenix, Arizona, United StatesRECRUITING
- USOR Arizona Oncology AssociatesTucson, Arizona, United StatesRECRUITING
- University of California Los Angeles Medical CenterLos Angeles, California, United StatesRECRUITING
- University of California, San Diego; Moores Cancer CenterSan Diego, California, United StatesRECRUITING
- USOR Sansum ClinicSanta Barbara, California, United StatesRECRUITING
- Providence Medical FoundationSanta Rosa, California, United StatesRECRUITING
- USOR Florida Cancer Specialists SouthFort Myers, Florida, United StatesRECRUITING
- USOR Florida Cancer Specialists NorthSt. Petersburg, Florida, United StatesRECRUITING
- USOR Florida Cancer Specialists EastWest Palm Beach, Florida, United StatesRECRUITING
- Augusta University Georgia Cancer CenterAugusta, Georgia, United StatesRECRUITING
- University of Kansas Medical Center (KUMC)Westwood, Kansas, United StatesRECRUITING
- USOR Maryland Oncology HematologyRockville, Maryland, United StatesRECRUITING
- Massachusetts General HospitalBoston, Massachusetts, United StatesRECRUITING
- Dana Farber Cancer InstituteBoston, Massachusetts, United StatesRECRUITING
- Karmanos Cancer InstituteDetroit, Michigan, United StatesRECRUITING
- START MidwestGrand Rapids, Michigan, United StatesRECRUITING
- USOR Minnesota Oncology HematologyMaplewood, Minnesota, United StatesRECRUITING
- MD Anderson Cancer Center at Cooper- Two Cooper PlazaCamden, New Jersey, United StatesRECRUITING
- Ohio State University Comprehensive Cancer Center (OSUCCC)- The James Cancer Hospital and Solove Research InstituteColumbus, Ohio, United StatesRECRUITING
- University of Oklahoma - Health Sciences CenterOklahoma City, Oklahoma, United StatesRECRUITING
- USOR Oncology Associates of Oregon, P.C.Eugene, Oregon, United StatesRECRUITING
- Compass Oncology - Rose QuarterPortland, Oregon, United StatesRECRUITING
- USOR Alliance Cancer SpecialistDoylestown, Pennsylvania, United StatesRECRUITING
- Allegheny Health NetworkPittsburgh, Pennsylvania, United StatesRECRUITING
- Women and Infants Hospital of Rhode IslandProvidence, Rhode Island, United StatesRECRUITING
- Sarah Cannon Research Institute at Tennessee OncologyNashville, Tennessee, United StatesRECRUITING
- Tennessee OncologyNashville, Tennessee, United StatesRECRUITING
- USOR Texas OncologyAbilene, Texas, United StatesRECRUITING
- Texas Oncology - Central / South TexasAustin, Texas, United StatesRECRUITING
- Mary Crowley Cancer ResearchDallas, Texas, United StatesRECRUITING
- USOR Texas OncologyFort Worth, Texas, United StatesRECRUITING
- Texas Oncology - Northeast TXTyler, Texas, United StatesRECRUITING
- USOR Texas Oncology Gulf CoastWoodland, Texas, United StatesRECRUITING
- START Mountain RegionWest Valley City, Utah, United StatesRECRUITING
- USOR Virginia Cancer SpecialistsFairfax, Virginia, United StatesRECRUITING
- USOR Virginia Oncology AssociatesNorfolk, Virginia, United StatesRECRUITING
- Swedish Cancer InstituteSeattle, Washington, United StatesRECRUITING
- Cancer hospital, Chinese Academy of Medical SciencesBeijing, Beijing Municipality, ChinaRECRUITING
- Chongqing University Cancer HospitalChongqing, Chongqing Municipality, ChinaRECRUITING
- Hunan Cancer Hospital - Phase 1Changsha, Hunan, ChinaRECRUITING
- Hunan Cancer Hospital - Thoracic Medicine Dept IIChangsha, Hunan, ChinaRECRUITING
- Jiangxi Maternal and Child Health HospitalNanchang, Jiangxi, ChinaRECRUITING
- Jilin Cancer HospitalChangchun, Jilin, ChinaRECRUITING
- Obstetrics & Gynecology Hospital of Fudan UniversityChengdu, Shanghai Municipality, ChinaRECRUITING
- Fudan University Shanghai Cancer Center - Gynecologic OncologyShanghai, Shanghai Municipality, ChinaRECRUITING
- Fudan University Shanghai Cancer Center- Phase 1Shanghai, Shanghai Municipality, ChinaRECRUITING
- Shanghai East HospitalShanghai, Shanghai Municipality, ChinaRECRUITING
- Sichuan Cancer HospitalShanghai, Sichuan, ChinaRECRUITING
- Zhejiang Cancer HospitalHangzhou, Zhejiang, ChinaRECRUITING
- Fujian Cancer HospitalFujian, ChinaRECRUITING
- Sun Yat-sen Memorial Hospital, Sun Yat-sen UniversityGuangdong, ChinaRECRUITING
- Second Affiliated Hospital of Zhengzhou UniversityHenan, ChinaRECRUITING
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyHubei, ChinaRECRUITING
- Second Hospital of Shanxi Medical UniversityShanxi, ChinaRECRUITING
- Shanxi Cancer HospitalShanxi, ChinaRECRUITING
- Liaoning Cancer Hospital & InstituteShengyang, ChinaRECRUITING
- Tianjin Cancer HospitalTianjin, ChinaRECRUITING
- Fukushima Medical University HospitalFukushima, Fukushima, JapanRECRUITING
- Gunma Prefectural Cancer CenterŌta, Gunma, JapanRECRUITING
- Sapporo Medical University HospitalSapporo, Hokkaido, JapanRECRUITING
- Hyogo Cancer CenterAkashi, Hyōgo, JapanRECRUITING
- Saitama Medical University-International Medical CenterHidaka, Saitama, JapanRECRUITING
- Shizuoka Cancer CenterNagaizumi-chō, Shizuoka, JapanRECRUITING
- Cancer Institute Hospital of JFCRKoto, Tokyo, JapanRECRUITING
- Keio University HospitalShinjuku-ku, Tokyo, JapanRECRUITING
- Yamagata University HospitalYamagata, Yamagata, JapanRECRUITING
- Phase 2US site
Study of Volrustomig as Monotherapy or in Combination With Anti- Cancer Agents in Participants With Advanced/Metastatic Solid Tumors
AstraZeneca·Los Angeles, California · United States + 96 other sites·Target: 257·Updated 2026-07-06·NCT06535607A Phase II, Multi-Center Study to Evaluate the Efficacy and Safety of Volrustomig as Monotherapy or in Combination With Anti-cancer Agents in Participants With Advanced/Metastatic Solid Tumors
Eligibility
Inclusion Criteria: * Age ≥18 at the time of signing the ICF. * Provision of tumor sample to assess the PD-L1 expression (if applicable). * ECOG performance status of 0 or 1. * Measurable disease according to RECIST 1.1 (variations of RECIST 1.1 if applicable). * Life expectancy ≥ 12 weeks. * Adequate organ and bone marrow function. * Body weight \> 35 kg * Capable of giving signed informed consent. Exclusion Criteria: * Spinal cord compression. * For sub-study 1,2,3,4, brain metastases unless asymptomatic, stable, and not requiring steroids for at least 14 days prior to start of study intervention. For sub-study 5, participants with untreated or progressive brain metastases. * For sub-study 1,2,3, participants with primary neuroendocrine, mesenchymal, sarcomatoid histologies, or other histologies not mentioned as part of the inclusion criteria. * Have not recovered (ie, ≤ Grade 1 or at baseline) from an AE due to a previously administered anti-cancer therapy. * For sub-study 2, have had radiotherapy within 2 weeks prior to enrollment. * For sub-study 3,4, participants have contraindications to any of the following drugs: 5-FU, paclitaxel and carboplatin * History of another primary malignancy except for a) Malignancy treated with curative intent with no known active disease ≥2 years before the first dose of study intervention and of low potential risk for recurrence; b) Adequately treated nonmelanoma skin cancer or lentigo maligna, or carcinoma in situ without evidence of disease. * Any evidence of diseases, and/or history of organ transplant or allogenic stem cell transplant, which makes it undesirable for the participant to participate in the study or that would jeopardize compliance with the protocol. * Evidence of the following infections: active infection including tuberculosis; known HIV infection. that is not well controlled; active or uncontrolled HBV or HCV; or active hepatitis A. * History of active primary immunodeficiency or active or prior documented autoimmune or inflammatory disorders. * Participants who are candidates for curative therapy. * Prior exposure to any immune-mediated therapy. * Current or prior use of immunosuppressive medication within 14 days before the first dose of the study intervention is excluded. The following are exceptions to this criterion: a) Intranasal, inhaled, topical steroids, or local steroid injections (eg, intraarticular injection); b) Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication or chemotherapy premedication) or a single dose for palliative purpose (eg, pain control). * For sub-study 1,2,3,4, participants are ineligible if they have received any anti-cancer therapy within 28 days prior to the first dose of study intervention or within 5 half-lives of the respective agent, whichever is longer. * Any concurrent chemotherapy except study intervention, radiotherapy, investigational, biologic, or hormonal therapy for cancer treatment. * Radiotherapy treatment with a wide field of radiation or to more than 30% of the bone marrow within 4 weeks, prior to the first dose of study intervention. * Major surgical procedures within 4 weeks prior to the first dose of the study intervention or still recovering from prior surgery. * Receipt of live attenuated vaccine within 30 days prior to the first dose of the study intervention. * Participants with a known allergy or hypersensitivity to any study intervention, on any excipients of any study intervention. * For substudy 5: Participants with any prior systemic therapy, non-palliative radiotherapy, radical pleuropneumonectomy for pleural mesothelioma.
Treatment
- BiologicalVolrustomigIV Infusion
- DrugCisplatinIV Infusion
- DrugCarboplatinIV Infusion
- DrugPaclitaxelIV Infusion
- Drug5-FUIV Infusion
Trial Contact
- AstraZeneca Clinical Study Information Center
- [email protected]
- +18772409479
All sites (97)
- Research SiteLos Angeles, California, United StatesWITHDRAWN
- Research SiteBaltimore, Maryland, United StatesRECRUITING
- Research SiteNew York, New York, United StatesNOT_YET_RECRUITING
- Research SiteStony Brook, New York, United StatesNOT_YET_RECRUITING
- Research SiteColumbus, Ohio, United StatesNOT_YET_RECRUITING
- Research SitePhiladelphia, Pennsylvania, United StatesNOT_YET_RECRUITING
- Research SiteClayton, AustraliaRECRUITING
- Research SiteNedlands, AustraliaRECRUITING
- Research SiteIjuí, BrazilRECRUITING
- Research SiteLondrina, BrazilRECRUITING
- Research SiteNatal, BrazilNOT_YET_RECRUITING
- Research SitePorto Alegre, BrazilNOT_YET_RECRUITING
- Research SiteSanto André, BrazilNOT_YET_RECRUITING
- Research SiteSão Caetano do Sul, BrazilRECRUITING
- Research SiteVitória, BrazilRECRUITING
- Research SiteVitória, BrazilNOT_YET_RECRUITING
- Research SiteEdmonton, Alberta, CanadaNOT_YET_RECRUITING
- Research SiteMontreal, Quebec, CanadaRECRUITING
- Research SiteAnyang, ChinaNOT_YET_RECRUITING
- Research SiteBeijing, ChinaNOT_YET_RECRUITING
- Research SiteBeijing, ChinaRECRUITING
- Research SiteBeijing, ChinaACTIVE_NOT_RECRUITING
- Research SiteBeijing, ChinaRECRUITING
- Research SiteBeijing, ChinaACTIVE_NOT_RECRUITING
- Research SiteBengbu, ChinaWITHDRAWN
- Research SiteChangchun, ChinaWITHDRAWN
- Research SiteChangchun, ChinaRECRUITING
- Research SiteChangsha, ChinaRECRUITING
- Research SiteChangsha, ChinaCOMPLETED
- Research SiteChangsha, ChinaRECRUITING
- Research SiteChangsha, ChinaCOMPLETED
- Research SiteChengdu, ChinaCOMPLETED
- Research SiteChengdu, ChinaACTIVE_NOT_RECRUITING
- Research SiteChengdu, ChinaRECRUITING
- Research SiteChongqing, ChinaACTIVE_NOT_RECRUITING
- Research SiteChongqing, ChinaWITHDRAWN
- Research SiteDongguan, ChinaACTIVE_NOT_RECRUITING
- Research SiteDongguan, ChinaRECRUITING
- Research SiteFuzhou, ChinaCOMPLETED
- Research SiteFuzhou, ChinaRECRUITING
- Research SiteFuzhou, ChinaNOT_YET_RECRUITING
- Research SiteGuangzhou, ChinaNOT_YET_RECRUITING
- Research SiteHangzhou, ChinaACTIVE_NOT_RECRUITING
- Research SiteHangzhou, ChinaRECRUITING
- Research SiteHarbin, ChinaNOT_YET_RECRUITING
- Research SiteHefei, ChinaWITHDRAWN
- Research SiteJining, ChinaRECRUITING
- Research SiteKunming, ChinaCOMPLETED
- Research SiteKunming, ChinaRECRUITING
- Research SiteNanchang, ChinaTERMINATED
- Research SiteNanjing, ChinaNOT_YET_RECRUITING
- Research SiteNanning, ChinaACTIVE_NOT_RECRUITING
- Research SiteNanning, ChinaRECRUITING
- Research SiteShandong, ChinaRECRUITING
- Research SiteShandong, ChinaRECRUITING
- Research SiteShandong, ChinaCOMPLETED
- Research SiteShandong, ChinaNOT_YET_RECRUITING
- Research SiteShanghai, ChinaACTIVE_NOT_RECRUITING
- Research SiteShanghai, ChinaRECRUITING
- Research SiteShenyang, ChinaACTIVE_NOT_RECRUITING
- Research SiteTianjin, ChinaCOMPLETED
- Research SiteTianjin, ChinaRECRUITING
- Research SiteWuhan, ChinaACTIVE_NOT_RECRUITING
- Research SiteWuhan, ChinaRECRUITING
- Research SiteWuhan, ChinaRECRUITING
- Research SiteWuhan, ChinaWITHDRAWN
- Research SiteWuhou District, ChinaRECRUITING
- Research SiteZhengzhou, ChinaNOT_YET_RECRUITING
- Research SiteCologne, GermanyNOT_YET_RECRUITING
- Research SiteFrankfurt, GermanyNOT_YET_RECRUITING
- Research SiteGauting, GermanyRECRUITING
- Research SiteGroßhansdorf, GermanyNOT_YET_RECRUITING
- Research SiteHamburg, GermanyRECRUITING
- Research SiteHeidelberg, GermanyRECRUITING
- Research SiteMainz, GermanyNOT_YET_RECRUITING
- Research SiteMünster, GermanyRECRUITING
- Research SiteOffenbach, GermanyNOT_YET_RECRUITING
- Research SiteRegensburg, GermanyRECRUITING
- Research SiteAlessandria, ItalyNOT_YET_RECRUITING
- Research SiteBergamo, ItalyRECRUITING
- Research SiteOrbassano, ItalyNOT_YET_RECRUITING
- Research SiteKashiwa, JapanNOT_YET_RECRUITING
- Research SiteYokohama, JapanNOT_YET_RECRUITING
- Research SiteIncheon, South KoreaNOT_YET_RECRUITING
- Research SiteNamdong-gu, South KoreaRECRUITING
- Research SiteSeoul, South KoreaRECRUITING
- Research SiteSeoul, South KoreaNOT_YET_RECRUITING
- Research SiteKaohsiung City, TaiwanNOT_YET_RECRUITING
- Research SiteKaohsiung City, TaiwanNOT_YET_RECRUITING
- Research SiteTaichung, TaiwanRECRUITING
- Research SiteTaipei, TaiwanRECRUITING
- Research SiteTaipei, TaiwanNOT_YET_RECRUITING
- Research SiteCambridge, United KingdomRECRUITING
- Research SiteGlasgow, United KingdomNOT_YET_RECRUITING
- Research SiteManchester, United KingdomRECRUITING
- Research SiteHanoi, VietnamRECRUITING
- Research SiteHo Chi Minh City, VietnamRECRUITING
- Phase 1/2US site
Lead-212 PSV359 Therapy for Patients With Solid Tumors
Perspective Therapeutics·Miami, Florida · United States + 10 other sites·Target: 112·Updated 2026-07-06·NCT06710756A Phase I/IIa Image-Guided, Alpha-Particle Therapy Study of [203Pb]Pb-PSV359 and [212Pb]Pb-PSV359 in Patients With Solid Tumors That Are Known to be Fibroblast Activation Protein (FAP)-Positive
Eligibility
Inclusion Criteria: * Aged ≥ 18 years * Satisfactory organ function as determined by laboratory testing * Eastern Cooperative Oncology Group performance (ECOG) status of 0 to 1 * Life expectancy \> 3 months * Progressive disease despite standard therapy or for whom no standard therapy exists * Positive \[203Pb\]Pb-PSV359 SPECT/CT scan showing uptake of \[203Pb\]Pb-PSV359 in at least 1 known lesion on the 1-hour SPECT/ CT scan * Histological, pathological, and/or cytological confirmation of solid tumor malignancy that is locally advanced or metastatic Exclusion Criteria: * Known hypersensitivity to the active agent or any of the excipients * Active secondary malignancy * Pregnancy or breastfeeding a child * Known brain metastases * Known active or uncontrolled infections requiring ongoing antifungals or antibiotics in the 3 days prior to enrollment * Known medical condition which would make this protocol unreasonably hazardous for the patient * Existence of any medical or social issues likely to interfere with study conductor that may cause increased risk to the subject or to others, e.g., lack of ability to follow radiation safety precautions * Medical history of a condition resulting in a severe allergic reaction such as anaphylaxis or angioedema to known components of the investigational product or excipients * Major surgery within 21 days prior to the administration of \[212Pb\]Pb-PSV359; the subject must be sufficiently recovered and stable before treatment administration * Diagnosis of deep vein thrombosis or pulmonary embolism within 4 weeks prior to enrollment into the study * Current abuse of alcohol or illicit drugs * Treatment with any live/attenuated vaccine in the 7 days prior to enrollment * Previous treatment with any systemic anticancer therapy within 4 weeks prior to treatment on study
Treatment
- Drug[203Pb]Pb-PSV359\[203Pb\]Pb-PSV359 is administered by intravenous bolus injection for single-photon emission computed tomography imaging.
- Drug[212Pb]Pb-PSV359\[212Pb\]Pb-PSV359 is administered by intravenous infusion for treatment of FAP expressing cancers.
Trial Contact
- ClinicalTrials at Perspectivetherapeutics
- [email protected]
- (206) 676-0900
All sites (11)
- University of MiamiMiami, Florida, United StatesRECRUITING
- BiogenixMiami, Florida, United StatesRECRUITING
- University of KansasKansas City, Kansas, United StatesRECRUITING
- University of KentuckyLexington, Kentucky, United StatesRECRUITING
- Mayo Clinic in Rochester, MinnesotaRochester, Minnesota, United StatesRECRUITING
- Saint Louis UniversitySt Louis, Missouri, United StatesRECRUITING
- Nebraska Cancer SpecialistsOmaha, Nebraska, United StatesRECRUITING
- Ohio State UniversityColumbus, Ohio, United StatesRECRUITING
- University of Pittsburgh Medical CenterPittsburgh, Pennsylvania, United StatesRECRUITING
- MD Anderson Cancer CenterHouston, Texas, United StatesRECRUITING
- University of WisconsinMadison, Wisconsin, United StatesRECRUITING
- Phase 2US site
Testing the Addition of Immunotherapy Before Surgery for Patients With Sarcomatoid Mesothelioma
Alliance for Clinical Trials in Oncology·Anchorage, Alaska · United States + 131 other sites·Target: 26·Updated 2026-07-02·NCT05647265Official Title Neoadjuvant Immunotherapy in Sarcomatoid Mesothelioma
Eligibility
Inclusion Criteria: * Sarcomatoid or sarcomatoid-dominant (\> 50%) biphasic, pleural mesothelioma * Stage: I-IIIA disease per Union for International Cancer Control (UICC) TNM Classification of Malignant Tumours 8th edition * Measurable disease or non-measurable disease as defined * No prior treatment which would be considered treatment for the primary neoplasm or impact the primary endpoint * No treatment with hormones or other chemotherapeutic agents except for hormones administered for non-disease-related conditions (e.g., insulin for diabetes and or hormonal therapy for breast, prostate cancer etc.) * Not pregnant and not nursing, because this study involves an investigational agent whose genotoxic, mutagenic and teratogenic effects on the developing fetus and newborn are unknown \* Therefore, for women of childbearing potential only, a negative pregnancy test done =\< 14 days prior to registration is required * Age \>= 18 years * Eastern Cooperative Oncology Group (ECOG) performance status =\< 2 or Karnofsky \>= 60% * Absolute neutrophil count (ANC) \>= 1,000/mm\^3 * Leukocytes \>= 2,000/mm\^3 * Platelet count \>= 100,000/mm\^3 * Creatinine =\< 1.5 x upper limit of normal (ULN) OR creatinine clearance \>= 40 mL/min * Total bilirubin =\<1.5 x ULN, except patients with Gilbert Syndrome who can have total bilirubin \< 3.0 mg/dl * Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =\< 3.0 x ULN * Alkaline (alk) phosphatase (phos) =\< 3.0 x ULN * No active, known or suspected autoimmune disease except for vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger * No active systemic infection requiring therapy, as well as positive tests for hepatitis B surface antigen or hepatitis C antibody * No history of any other condition that may require the initiation of anti-tumor necrosis factor alpha (TNFalpha) therapies or other immunosuppressant medications during the study * Human immunodeficiency virus (HIV)-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial * Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class 2B or better * Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial * STEP 2 ELIGIBILITY CRITERIA: Completion of at least 1 cycle of treatment and not have an unresolved adverse event that would preclude surgery * STEP 2 ELIGIBILITY CRITERIA: No evidence of progression that would preclude resection * STEP 2 ELIGIBILITY CRITERIA: ECOG performance status =\< 2 or Karnofsky \>= 60% * STEP 2 ELIGIBILITY CRITERIA: Predicted forced expiratory volume in 1 second (FEV1) \> 35% and postoperative predicted diffusion capacity of the lung for carbon monoxide (DLCO) \> 35% * STEP 2 ELIGIBILITY CRITERIA: Registration to step 2 no less than 21 days and no more than 90 days after the last dose of neoadjuvant therapy Exclusion Criteria: * No patients deemed to be unresectable or poor surgical candidates * No patients with chest wall invasion, peritoneal spread, contralateral pleural involvement, mediastinal organ involvement, vertebral involvement, or metastases to contralateral intrathoracic lymph nodes, or any supraclavicular nodes * No patients with a history of symptomatic interstitial lung disease
Treatment
- BiologicalNivolumabGiven IV
- BiologicalIpilimumabGiven IV
- ProcedureSurgical ProcedureUndergo surgery
- ProcedureComputed Tomographyundergo CT
- ProcedureMagnetic Resonance ImagingUndergo MRI
- ProcedurePositron Emission TomographyUndergo PET
All sites (132)
- Anchorage Associates in Radiation MedicineAnchorage, Alaska, United StatesRECRUITING
- Anchorage Radiation Therapy CenterAnchorage, Alaska, United StatesSUSPENDED
- Alaska Breast Care and Surgery LLCAnchorage, Alaska, United StatesRECRUITING
- Alaska Oncology and Hematology LLCAnchorage, Alaska, United StatesRECRUITING
- Alaska Women's Cancer CareAnchorage, Alaska, United StatesRECRUITING
- Katmai Oncology GroupAnchorage, Alaska, United StatesRECRUITING
- Providence Alaska Medical CenterAnchorage, Alaska, United StatesRECRUITING
- Kingman Regional Medical CenterKingman, Arizona, United StatesRECRUITING
- Mayo Clinic Hospital in ArizonaPhoenix, Arizona, United StatesRECRUITING
- Mayo Clinic in ArizonaScottsdale, Arizona, United StatesRECRUITING
- PCR OncologyArroyo Grande, California, United StatesRECRUITING
- Providence Saint Joseph Medical Center/Disney Family Cancer CenterBurbank, California, United StatesRECRUITING
- UC San Diego Moores Cancer CenterLa Jolla, California, United StatesRECRUITING
- Providence Queen of The ValleyNapa, California, United StatesRECRUITING
- Providence Medical Foundation - Santa RosaSanta Rosa, California, United StatesRECRUITING
- Providence Santa Rosa Memorial HospitalSanta Rosa, California, United StatesRECRUITING
- Beebe Medical CenterLewes, Delaware, United StatesACTIVE_NOT_RECRUITING
- Beebe South Coastal Health CampusMillville, Delaware, United StatesACTIVE_NOT_RECRUITING
- Delaware Clinical and Laboratory Physicians PANewark, Delaware, United StatesACTIVE_NOT_RECRUITING
- Helen F Graham Cancer CenterNewark, Delaware, United StatesACTIVE_NOT_RECRUITING
- Medical Oncology Hematology Consultants PANewark, Delaware, United StatesACTIVE_NOT_RECRUITING
- Christiana Care Health System-Christiana HospitalNewark, Delaware, United StatesACTIVE_NOT_RECRUITING
- Beebe Health CampusRehoboth Beach, Delaware, United StatesACTIVE_NOT_RECRUITING
- Christiana Care Health System-Wilmington HospitalWilmington, Delaware, United StatesACTIVE_NOT_RECRUITING
- Mayo Clinic in FloridaJacksonville, Florida, United StatesRECRUITING
- Saint Luke's Cancer Institute - BoiseBoise, Idaho, United StatesRECRUITING
- Saint Luke's Cancer Institute - FruitlandFruitland, Idaho, United StatesRECRUITING
- Saint Luke's Cancer Institute - MeridianMeridian, Idaho, United StatesRECRUITING
- Saint Luke's Cancer Institute - NampaNampa, Idaho, United StatesRECRUITING
- Saint Luke's Cancer Institute - Twin FallsTwin Falls, Idaho, United StatesRECRUITING
- Rush-Copley Medical CenterAurora, Illinois, United StatesRECRUITING
- Northwestern UniversityChicago, Illinois, United StatesRECRUITING
- University of Chicago Comprehensive Cancer CenterChicago, Illinois, United StatesRECRUITING
- Carle at The RiverfrontDanville, Illinois, United StatesRECRUITING
- Northwestern Medicine Cancer Center KishwaukeeDeKalb, Illinois, United StatesRECRUITING
- Carle Physician Group-EffinghamEffingham, Illinois, United StatesRECRUITING
- Northwestern Medicine Cancer Center DelnorGeneva, Illinois, United StatesRECRUITING
- Northwestern Medicine Glenview Outpatient CenterGlenview, Illinois, United StatesRECRUITING
- Northwestern Medicine Grayslake Outpatient CenterGrayslake, Illinois, United StatesRECRUITING
- Northwestern Medicine Lake Forest HospitalLake Forest, Illinois, United StatesRECRUITING
- Carle Physician Group-Mattoon/CharlestonMattoon, Illinois, United StatesRECRUITING
- Northwestern Medicine Orland ParkOrland Park, Illinois, United StatesRECRUITING
- Carle Cancer CenterUrbana, Illinois, United StatesRECRUITING
- Northwestern Medicine Cancer Center WarrenvilleWarrenville, Illinois, United StatesRECRUITING
- Rush-Copley Healthcare CenterYorkville, Illinois, United StatesRECRUITING
- Christiana Care - Union HospitalElkton, Maryland, United StatesACTIVE_NOT_RECRUITING
- University of Minnesota/Masonic Cancer CenterMinneapolis, Minnesota, United StatesRECRUITING
- Mayo Clinic in RochesterRochester, Minnesota, United StatesRECRUITING
- Saint Patrick Hospital - Community HospitalMissoula, Montana, United StatesRECRUITING
- Carson Tahoe Regional Medical CenterCarson City, Nevada, United StatesRECRUITING
- Cancer and Blood Specialists-HendersonHenderson, Nevada, United StatesSUSPENDED
- Comprehensive Cancer Centers of Nevada - HendersonHenderson, Nevada, United StatesRECRUITING
- Comprehensive Cancer Centers of Nevada-Horizon RidgeHenderson, Nevada, United StatesRECRUITING
- Las Vegas Cancer Center-HendersonHenderson, Nevada, United StatesSUSPENDED
- Comprehensive Cancer Centers of Nevada-Southeast HendersonHenderson, Nevada, United StatesRECRUITING
- Las Vegas Urology - Green ValleyHenderson, Nevada, United StatesRECRUITING
- Las Vegas Urology - PebbleHenderson, Nevada, United StatesRECRUITING
- Oncology Las Vegas - HendersonHenderson, Nevada, United StatesRECRUITING
- Urology Specialists of Nevada - Green ValleyHenderson, Nevada, United StatesRECRUITING
- Las Vegas Urology - PecosLas Vegas, Nevada, United StatesRECRUITING
- OptumCare Cancer Care at CharlestonLas Vegas, Nevada, United StatesRECRUITING
- University Medical Center of Southern NevadaLas Vegas, Nevada, United StatesRECRUITING
- Hope Cancer Care of NevadaLas Vegas, Nevada, United StatesRECRUITING
- Radiation Oncology Centers of Nevada CentralLas Vegas, Nevada, United StatesRECRUITING
- Urology Specialists of Nevada - CentralLas Vegas, Nevada, United StatesRECRUITING
- Sunrise Hospital and Medical CenterLas Vegas, Nevada, United StatesRECRUITING
- Las Vegas Prostate Cancer CenterLas Vegas, Nevada, United StatesRECRUITING
- Las Vegas Urology - SunsetLas Vegas, Nevada, United StatesRECRUITING
- Urology Specialists of Nevada - SouthwestLas Vegas, Nevada, United StatesRECRUITING
- Radiation Oncology Centers of Nevada SoutheastLas Vegas, Nevada, United StatesRECRUITING
- Ann M Wierman MD LTDLas Vegas, Nevada, United StatesSUSPENDED
- Comprehensive Cancer Centers of Nevada - NorthwestLas Vegas, Nevada, United StatesRECRUITING
- Las Vegas Urology - Cathedral RockLas Vegas, Nevada, United StatesRECRUITING
- Las Vegas Urology - Smoke RanchLas Vegas, Nevada, United StatesRECRUITING
- Oncology Las Vegas - TenayaLas Vegas, Nevada, United StatesRECRUITING
- OptumCare Cancer Care at MountainViewLas Vegas, Nevada, United StatesRECRUITING
- Urology Specialists of Nevada - NorthwestLas Vegas, Nevada, United StatesRECRUITING
- Alliance for Childhood Diseases/Cure 4 the Kids FoundationLas Vegas, Nevada, United StatesRECRUITING
- Comprehensive Cancer Centers of Nevada - Town CenterLas Vegas, Nevada, United StatesRECRUITING
- Comprehensive Cancer Centers of Nevada-SummerlinLas Vegas, Nevada, United StatesRECRUITING
- Summerlin Hospital Medical CenterLas Vegas, Nevada, United StatesRECRUITING
- Las Vegas Cancer Center-Medical CenterLas Vegas, Nevada, United StatesSUSPENDED
- Comprehensive Cancer Centers of NevadaLas Vegas, Nevada, United StatesRECRUITING
- Comprehensive Cancer Centers of Nevada - Central ValleyLas Vegas, Nevada, United StatesRECRUITING
- University Cancer CenterLas Vegas, Nevada, United StatesSUSPENDED
- OptumCare Cancer Care at Fort ApacheLas Vegas, Nevada, United StatesRECRUITING
- Hope Cancer Care of Nevada-PahrumpPahrump, Nevada, United StatesRECRUITING
- Renown Regional Medical CenterReno, Nevada, United StatesRECRUITING
- Saint Mary's Regional Medical CenterReno, Nevada, United StatesRECRUITING
- Radiation Oncology AssociatesReno, Nevada, United StatesSUSPENDED
- Duke University Medical CenterDurham, North Carolina, United StatesRECRUITING
- Duke Cancer Center SouthpointDurham, North Carolina, United StatesRECRUITING
- Duke Cancer Center RaleighRaleigh, North Carolina, United StatesRECRUITING
- Saint Charles Health SystemBend, Oregon, United StatesRECRUITING
- Clackamas Radiation Oncology CenterClackamas, Oregon, United StatesRECRUITING
- Providence Cancer Institute Clackamas ClinicClackamas, Oregon, United StatesSUSPENDED
- Bay Area HospitalCoos Bay, Oregon, United StatesRECRUITING
- Providence Hood River Memorial HospitalHood River, Oregon, United StatesRECRUITING
- Providence Newberg Medical CenterNewberg, Oregon, United StatesRECRUITING
- Providence Willamette Falls Medical CenterOregon City, Oregon, United StatesRECRUITING
- Providence Portland Medical CenterPortland, Oregon, United StatesRECRUITING
- Providence Saint Vincent Medical CenterPortland, Oregon, United StatesRECRUITING
- Saint Charles Health System-RedmondRedmond, Oregon, United StatesRECRUITING
- Christiana Care Health System-Concord Health CenterChadds Ford, Pennsylvania, United StatesACTIVE_NOT_RECRUITING
- UT Southwestern Simmons Cancer Center - RedBirdDallas, Texas, United StatesRECRUITING
- UT Southwestern/Simmons Cancer Center-DallasDallas, Texas, United StatesRECRUITING
- UT Southwestern/Simmons Cancer Center-Fort WorthFort Worth, Texas, United StatesRECRUITING
- UT Southwestern Clinical Center at Richardson/PlanoRichardson, Texas, United StatesRECRUITING
- Providence Regional Cancer System-AberdeenAberdeen, Washington, United StatesRECRUITING
- Overlake Medical CenterBellevue, Washington, United StatesSUSPENDED
- PeaceHealth Saint Joseph Medical CenterBellingham, Washington, United StatesRECRUITING
- Providence Regional Cancer System-CentraliaCentralia, Washington, United StatesRECRUITING
- Swedish Cancer Institute-EdmondsEdmonds, Washington, United StatesRECRUITING
- Providence Regional Cancer PartnershipEverett, Washington, United StatesRECRUITING
- Swedish Cancer Institute-IssaquahIssaquah, Washington, United StatesRECRUITING
- Kadlec Clinic Hematology and OncologyKennewick, Washington, United StatesRECRUITING
- Providence Regional Cancer System-LaceyLacey, Washington, United StatesRECRUITING
- PeaceHealth Saint John Medical CenterLongview, Washington, United StatesRECRUITING
- Skagit Regional Health Cancer Care CenterMount Vernon, Washington, United StatesRECRUITING
- Valley Medical CenterRenton, Washington, United StatesRECRUITING
- Swedish Medical Center-Ballard CampusSeattle, Washington, United StatesRECRUITING
- Swedish Medical Center-Cherry HillSeattle, Washington, United StatesRECRUITING
- Swedish Medical Center-First HillSeattle, Washington, United StatesRECRUITING
- PeaceHealth United General Medical CenterSedro-Woolley, Washington, United StatesRECRUITING
- Providence Regional Cancer System-SheltonShelton, Washington, United StatesSUSPENDED
- Cancer Care Northwest - Spokane SouthSpokane, Washington, United StatesRECRUITING
- Cancer Care Northwest-ValleySpokane, Washington, United StatesRECRUITING
- Cancer Care Northwest-North SpokaneSpokane, Washington, United StatesRECRUITING
- PeaceHealth Southwest Medical CenterVancouver, Washington, United StatesRECRUITING
- Providence Saint Mary Regional Cancer CenterWalla Walla, Washington, United StatesRECRUITING
- North Star Lodge Cancer Center at Yakima Valley Memorial HospitalYakima, Washington, United StatesRECRUITING
- Providence Regional Cancer System-YelmYelm, Washington, United StatesSUSPENDED
- N/AUS site
Prospective Evaluation of High Resolution Dual Energy Computed Tomographic Imaging, Noninvasive (Liquid) Biopsies, and Minimally Invasive Surgical Surveillance for Early Detection of Mesotheliomas in Patients With BAP1 Tumor Predisposition Syndrome
National Cancer Institute (NCI)·Bethesda, Maryland · United States·Target: 300·Updated 2026-06-30·NCT04431024Eligibility
* ELIGIBILITY CRITERIA: Inclusion Criteria for Genetic Testing -Eligible participants include: --Individuals with a history of any malignancy with known or suspected germline mutations involving BAP1 OR --First- or second-degree relatives of patients (with or without cancer) with documented BAP1 tumor predisposition syndrome (TPDS) * Age \>= 30 years. * All participants must understand and be willing to sign a written informed consent document. Inclusion Criteria for Surveillance * Eligible participants include those who completed step 1 genetic testing with study-confirmed BAP1 or other germline TPDS mutation. * Completed co-enrollment on protocol 06C0014, "Prospective Evaluation of Genetic and Epigenetic Alterations in Patients with Thoracic Malignancies."
Treatment
Intervention details pending.
- N/AUS site
Integrated Cancer Repository for Cancer Research
University of Nebraska·Greenwood Village, Colorado · United States + 41 other sites·Target: 999,999·Updated 2026-06-29·NCT02012699Eligibility
Inclusion Criteria * Diagnosis/history of cancer * Risk for developing cancer or suspicious clinical findings * No history of cancer (normal control registry) * Able to provide informed consent * 19 years of age or older * English or Spanish speaking individuals Exclusion Criteria * Unable to provide informed consent because of cognitive impairment * Non-English or non-Spanish speaking individuals
Treatment
Intervention details pending.
All sites (42)
- Advent HealthGreenwood Village, Colorado, United StatesRECRUITING
- Hartford HealthCare Cancer Institute at Manchester Medical HospitalManchester, Connecticut, United StatesRECRUITING
- Florida Hospital Memorial Medical CenterDaytona Beach, Florida, United StatesRECRUITING
- Florida Hospital DeLandDeLand, Florida, United StatesRECRUITING
- Florida Hospital FISHOrange City, Florida, United StatesRECRUITING
- Florida Hospital FlaglerPalm Coast, Florida, United StatesRECRUITING
- Tallahassee Memorial HospitalTallahassee, Florida, United StatesRECRUITING
- Rush-Copley Cancer Care CenterAurora, Illinois, United StatesRECRUITING
- Rush-Copley Healthcare CenterYorkville, Illinois, United StatesRECRUITING
- Parkview Research CenterFort Wayne, Indiana, United StatesRECRUITING
- Methodist Jennie Edmundson HospitalCouncil Bluffs, Iowa, United StatesRECRUITING
- Covenant Medical Center, IncWaterloo, Iowa, United StatesRECRUITING
- Saint Luke's Cancer Instititute - SouthOverland Park, Kansas, United StatesRECRUITING
- Northwest HospitalRandallstown, Maryland, United StatesRECRUITING
- William E. Kahlert Regional Cancer CenterWestminster, Maryland, United StatesRECRUITING
- Holyoke Medical CenterHolyoke, Massachusetts, United StatesRECRUITING
- Riverwood Healthcare CenterAitkin, Minnesota, United StatesRECRUITING
- Essentia Health-St. Joseph's Medical CenterBrainerd, Minnesota, United StatesRECRUITING
- Essentia Health - Duluth ClinicDuluth, Minnesota, United StatesRECRUITING
- St. Luke's Hospital of DuluthDuluth, Minnesota, United StatesRECRUITING
- Lake Region HealthcareFergus Falls, Minnesota, United StatesRECRUITING
- Saint Luke's Cancer Institute, EastKansas City, Missouri, United StatesRECRUITING
- Saint Luke's Cancer InstituteKansas City, Missouri, United StatesRECRUITING
- Saint Luke's Cancer Institute, Kansas City NorthKansas City, Missouri, United StatesRECRUITING
- Saint Luke's Cancer Institute, LibertyLiberty, Missouri, United StatesRECRUITING
- North Kansas City HospitalNorth Kansas City, Missouri, United StatesRECRUITING
- Heartland Regional Medical Center dba Mosaic Life CareSaint Joseph, Missouri, United StatesRECRUITING
- Bozeman Health Deaconess HospitalBozeman, Montana, United StatesRECRUITING
- Mary Lanning Healthcare, Morrison Cancer CenterHastings, Nebraska, United StatesRECRUITING
- Faith Regional Health Services, Carson Cancer CenterNorfolk, Nebraska, United StatesRECRUITING
- Great Plains Regional Medical CenterNorth Platte, Nebraska, United StatesRECRUITING
- Methodist Estabrook Cancer CenterOmaha, Nebraska, United StatesRECRUITING
- Nebraska Methodist Health SystemOmaha, Nebraska, United StatesRECRUITING
- University of Nebraska Medical CenterOmaha, Nebraska, United StatesRECRUITING
- C.R. Wood Cancer Center, Glens Falls HospitalGlens Falls, New York, United StatesRECRUITING
- Faxton St. Luke's Healthcare, Mohawk ValleyUtica, New York, United StatesRECRUITING
- Cape Fear Valley Health SystemFayetteville, North Carolina, United StatesRECRUITING
- Essentia HealthFargo, North Dakota, United StatesRECRUITING
- Trinity Hospital Cancer Care CenterMinot, North Dakota, United StatesRECRUITING
- Aultman Alliance Community HospitalAlliance, Ohio, United StatesRECRUITING
- Aultman HospitalCanton, Ohio, United StatesRECRUITING
- Bellin Memorial HospitalGreen Bay, Wisconsin, United StatesRECRUITING
- Phase 1US site
A Study of BMS-986504 With Standard-of-Care Therapy for People With Solid Tumor Cancer
Memorial Sloan Kettering Cancer Center·Basking Ridge, New Jersey · United States + 6 other sites·Target: 60·Updated 2026-06-29·NCT07532902A Phase 1a/1b Basket Trial of BMS-986504 With Standard-of-Care Therapy For Patients With Select Metastatic MTAP-deleted Solid Tumors
Eligibility
Inclusion Criteria: * Documentation of Disease: * Patients must have pathologic confirmation of one of three diseases: * Diffuse pleural mesothelioma (DPM) * Gastroesophageal carcinoma (GEC) including adenocarcinoma or squamous cell carcinoma of the esophagus, gastroesophageal junction, or stomach. * PD-L1 CPS ≥1 (using clone 73-10, DAKO) * HER2 overexpression negative (using clone 4B5, Ventana): HER2 IHC 0-1+, or HER2 2+ with ISH showing HER2:CEP17 ratio \<2 and average HER2 copy number \<6.0 signals/cell * Urothelial carcinoma (UC) * Archival tissue is acceptable * Metastatic or advanced/unresectable disease: * For Diffuse Pleural Mesothelioma (DPM) and Gastroesophageal Carcinoma (GEC )cohorts: no prior systemic treatment for metastatic disease * Patients with metastatic disease after treatment for localized GEC may have received prior systemic therapy (chemotherapy and/or chemoradiation) if \>6 months have elapsed between the end of therapy and registration. * One prior cycle of standard-of-care therapy alone without BMS-986504 or other MTAP inhibitors (ipi/nivo for DPM, FOLFOX + nivo for GEC) is acceptable with PI approval. * For UC cohort: must have received at least 1 prior line of treatment without prior gemcitabine (prior tx with Gem+Platinum in the perioperative setting is permitted if at least 12 months have elapsed from trial enrollment) * Patients with recurrent disease within 1 year of completion of prior perioperative systemic therapy are eligible with PI approval. * One prior cycle of standard-of-care therapy alone with gemcitabine + platinum, without BMS-986504 or other MTAP inhibitors, is acceptable with PI approval. * Confirmation of MTAP deletion by either IHC or NGS: * MTAP deletion must be detected by either IHC and/or NGS (including FACETS), done on tumor tissue (not blood): * IHC (using antibody 1813, NBP2-75730, Novus Biologicals)30 * IHC staining showing loss of MTAP expression * Tissue-based NGS options * MSK-IMPACT version 7 or beyond showing homozygous MTAP copy number loss * FACETS showing homozygous deletion * Other CLIA-approved commercial Template Version: 1-21-25 * Full report must be available for review and confirmation * Cases with discordant results between NGS and IHC, in which one test shows MTAP loss/MTAP del and the other shows MTAP intact, are acceptable with PI approval * Measurable disease per RECIST v 1.1 (or, for DPM cohort, by either RECIST v 1.1 or modified RECIST \[mRECIST\] for mesothelioma31) * No contraindications to receiving other standard-of-care agents per package inserts (and see Appendix IV), and per the discretion of the PI: * DPM: Ipilimumab + nivolumab * GEC: FOLFOX (5-FU, leucovorin, and oxaliplatin) + nivolumab * UC: Gemcitabine + platinum (carboplatin or cisplatin) * Age ≥ 18 * KPS ≥ 70/ECOG \<1 * Reproductive Status: * Female participants of child-bearing potential (as assigned at birth) must have a negative highly sensitive urine or serum (as required by local regulations) pregnancy test (minimum sensitivity 25 IU/L or equivalent units of human chorionic gonadotropin) within 24 hours prior to the start of study intervention. * If a urine test cannot be confirmed as negative (eg, an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive. * Female participants of child-bearing potential (as assigned at birth) must agree to use a combination of a hormonal and a non-hormonal contraceptive method or a non-hormonal method alone that is highly effective (with a failure rate of \< 1% per year)during the intervention period and for 14 months (for females) after the last dose of study intervention (or longer if required by institutional guidelines) Hormonal contraceptive methods alone are not allowed. * Female participants of child-bearing potential (as assigned at birth) must also agree not to donate eggs (ova, oocytes) for the purpose of reproduction for the same period. * If needed, these participants should be advised to seek advice about egg donation and cryopreservation of germ cells before treatment. * Female participants (as assigned at birth) are deemed to be without child-bearing potential if they meet one of the following criteria: * Postmenopausal for at least 1 year before the screening visit * Permanently sterile (undergone a hysterectomy, bilateral salpingectomy or bilateral oophorectomy) with surgery at least 1 month before the first dose of study drug or confirmed by follicle stimulating hormone (FSH) test \> 40 mIU/mL and estradiol \< 40 pg/mL (\<140 pmol/L) * Male participants (as assigned at birth) will be required to always use a latex or other synthetic condom during any sexual activity (eg, vaginal, anal, oral) with a female of childbearing potential, even if the participant has undergone a successful vasectomy or if the partner is pregnant or breastfeeding. Male participants (as assigned at birth) should continue to use a condom during the intervention period and for at least 11 months after the last dose of study intervention (or longer if required by institutional guidelines). * Male participants must refrain from donating sperm during the intervention period and for at least 11 months after the last dose of study intervention (or longer if required by institutional guidelines). * If needed, male participants should be advised to seek advice about sperm donation and cryopreservation of germ cells before treatment. * Individuals of child-bearing potential who are partners of male participants should be advised to use a highly effective method of contraception during the intervention period and for at least 11 months after the last dose of study intervention for the male participant * Male participants (as assigned at birth) with a pregnant or breastfeeding partner must agree to remain abstinent from sexual activity or use a male condom during any sexual activity (eg, vaginal, anal, oral), even if the participant has undergone a successful vasectomy, during the intervention period and for at least 11 months after the last dose of study intervention * Breastfeeding partners of male participants (as assigned at birth) should be advised to consult their health care provider about using appropriate highly effective contraception during the time the male participant is required to use condoms * Recovery from the adverse effects of prior therapy at the time of enrollment to baseline or ≤ Grade 1 (excluding alopecia, peripheral neuropathy, and parameters superseded by other eligibility criteria \[eg, hematology parameters\]). Note: Participants with prior endocrine adverse effects are permitted to enroll if they are stably maintained on appropriate replacement therapy and are asymptomatic. * Required organ function * Adequate hematologic function defined as follows: * Absolute neutrophil count (ANC) ≥ 1,500 cells/mm\^3 * Platelets ≥ 100,000 cells/mm3 * Hemoglobin ≥ 8 g/dl * Adequate renal function defined as follows: * Creatinine clearance (CrCL) of ≥50 mL/min by the CKD-Epi creatinine equation * Adequate hepatic function defined as follows: * Total bilirubin ≤ 1.5 x institutional upper limit of normal (ULN) (patients with known Gilbert's disease who have bilirubin level ≤ 3 x ULN may be enrolled) * AST and ALT ≤5 x ULN * Signed informed consent form (ICF) Exclusion Criteria: * Prior treatment with PRMT5i or MAT2Ai * Symptomatic CNS metastases * Patients with treated brain metastases are eligible if follow up brain imaging after CNS directed therapy shows no evidence of progression and the patient is on a stable dose of corticosteroids * Received palliative radiation therapy within 3 days prior to initiation of study treatment or definitive SRS including CNS SRS within 14 days prior to initiation of study treatment * Patients who have had major surgery within 3 weeks of start of study drug o Note: procedures such as biopsy, pleural catheter insertion, central venous catheter or other minor procedures are permitted * Any of the following cardiac abnormalities: * Unstable angina pectoris or myocardial infarction within 6 months prior to enrollment * Congestive heart failure ≥ NYHA Class 3 within 6 months prior to enrollment * Prolonged QTc \> 500 milliseconds or history of Long QT Syndrome * Child-Pugh class C liver cirrhosis * Ongoing medical illness not otherwise listed which would preclude study at the discretion of the PI * Inability to take medications PO (BMS-986504 cannot be taken via gastrostomy tube), refractory nausea and vomiting, malabsorption, biliary shunt, significant bowel resection, or any other condition that significantly affects gut motility or absorption and would preclude adequate absorption of BMS-986504 in the opinion of the treating physician and/or PI * Ongoing need for a medication that is a strong inhibitor or strong inducer of cytochrome P450 (CYP) 3A4 and/or P-glycoprotein (P-gp) or proton-pump inhibitor that cannot be switched to alternative treatment prior to study entry * HIV, HBV, or HCV with detectable viral load * For patients with known HIV, HBV, and/or HCV infection: * HIV-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial. * For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable with or without suppressive therapy * Patients with a history of HCV infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load. * Active infection requiring parenteral antibiotic(s) * Pregnant or breastfeeding * Presence of another malignancy that could be mistaken for the malignancy under study during disease assessments. * Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial.
Treatment
- DrugBMS-986504BMS-986504 PO daily
- DrugIpilimumabIpilimumab (1mg/kg Q6wk)
- DrugNivolumabNivolumab (360mg flat dose Q3wk)
- Drug5-FUare continued until disease progression or intolerance
- DrugLeucovorinare continued until disease progression or intolerance
- DrugOxaliplatinare continued until disease progression or intolerance
- DrugGemcitabineGemcitabine are given for a maximum of 6 cycles
- DrugPlatinumPlatinum are given for a maximum of 6 cycles
All sites (7)
- Memorial Sloan Kettering Basking Ridge (All Protocol Activities)Basking Ridge, New Jersey, United StatesRECRUITING
- Memorial Sloan Kettering Monmouth (All Protocol Activities)Middletown, New Jersey, United StatesRECRUITING
- Memorial Sloan Kettering Bergen (All Protocol Activities)Montvale, New Jersey, United StatesRECRUITING
- Memorial Sloan Kettering Suffolk - Commack (All Protocol Activities)Commack, New York, United StatesRECRUITING
- Memorial Sloan Kettering Westchester (All Protocol Activities)Harrison, New York, United StatesRECRUITING
- Memorial Sloan Kettering Cancer Center (All Protocol Activities)New York, New York, United StatesRECRUITING
- Memorial Sloan Kettering Nassau (All Protocol Activities)Uniondale, New York, United StatesRECRUITING
- Phase 1US site
SynKIR-110 for Mesothelin Expressing Ovarian Cancer, Cholangiocarcinoma or Mesothelioma
Verismo Therapeutics·Tampa, Florida · United States + 4 other sites·Target: 42·Updated 2026-06-24·NCT05568680A Phase 1 Study of SynKIR-110, Autologous T Cells Transduced With Mesothelin KIR-CAR, in Subjects With Mesothelin-Expressing Advanced Ovarian Cancer, Cholangiocarcinoma, or Mesothelioma
Eligibility
Inclusion Criteria: * Pathologically confirmed recurrent or relapsed advanced ovarian cancer, primary peritoneal cancer, fallopian tube cancer, cholangiocarcinoma, or epithelial mesothelioma (pleural or peritoneal) after at least 1 prior line of systemic therapy for advanced disease * Adult 18 years of age or older. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1. * Has at least 1 measurable lesion by iRECIST for ovarian cancer or cholangiocarcinoma or lesions measurable for mRECIST for mesothelioma. * Satisfactory Blood coagulation parameters * Satisfactory organ and bone marrow function Exclusion Criteria: * Active invasive cancers other than mesothelioma, cholangiocarcinoma, and ovarian unless surgically and medically cured without evidence of recurrent disease for 5 years. * History of T or B cell malignancies or previous gene-engineered T cell therapies. * Sarcomatoid/biphasic mesothelioma. * Pulmonary exclusions * Have acquired hereditary, congenital immunodeficiency or have recognized immunodeficiency disease * Active hepatitis B, active hepatitis C, or any HIV infection at the time of screening * Active autoimmune disease
Treatment
- BiologicalSynKIR-110, Autologous T cells Transduced with Mesothelin KIR-CARAutologous T cells Transduced with Mesothelin KIR-CAR
All sites (5)
- Moffitt Cancer CenterTampa, Florida, United StatesRECRUITING
- University of Kansas Cancer CenterWestwood, Kansas, United StatesACTIVE_NOT_RECRUITING
- University of PennsylvaniaPhiladelphia, Pennsylvania, United StatesRECRUITING
- MD Anderson Cancer CenterHouston, Texas, United StatesRECRUITING
- University of Wisconsin Carbone Cancer CenterMadison, Wisconsin, United StatesRECRUITING
- Phase 1US site
Anti-Mesothelin TNaive/SCM hYP218 (TNhYP218) CAR T Cells in Participants With Mesothelin-Expressing Solid Tumors Including Mesothelioma
National Cancer Institute (NCI)·Bethesda, Maryland · United States·Target: 100·Updated 2026-06-17·NCT06885697Phase 1 Study With Dose Expansion of the Anti-Mesothelin TNaive/SCM hYP218 (TNhYP218) CAR T Cells in Participants With Mesothelin-Expressing Solid Tumors Including Mesothelioma
Eligibility
* INCLUSION CRITERIA: In order to be eligible to participate in this study, an individual must meet all of the following criteria. For this protocol, treatment initiation is defined as the first day of lymphodepleting chemotherapy. * Participant must have unresectable, locally advanced, or metastatic, or recurrent mesothelioma and other mesothelin expressing solid tumors. For participants with mesothelioma only those with epithelioid or biphasic histology (with \>80% epithelioid component) will be eligible. The diagnosis will be confirmed by the Laboratory of Pathology, CCR, NCI. * Participant must have progressed on at least one FDA-approved systemic therapy considered standard of care for their tumor type. There is no limit on the number of prior treatment regimens. Note: Given the aggressive nature of pancreatic cancer, otherwise eligible individuals with this cancer type can undergo leukapheresis before or while they are getting their frontline treatment as long as they meet all other inclusion criteria. However, TNhYP218 CAR T cells will only be administered after progression on first line standard of care therapy. * Participant must have at least 1 measurable lesion by RECIST version 1.1. * Tumor must have MSLN positivity of 2+ to 3+ in \>= 50% cancer cells by immunohistochemistry on freshly collected biopsy or archival tissue. * Age \>= 18 years. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Participants must have adequate organ and marrow function as defined below: System: Laboratory Value Hematological * Hemoglobi: \>=9 g/dL(a) * absolute neutrophil count: \>=1,500/mcL * platelets: \>=100,000/mcL Hepatic * total bilirubin: \<=2.5 X institutional ULN OR direct bilirubin ULN for participants with total bilirubin levels \>1.5 X ULN * AST and ALT \<= 2.5 X institutional ULN (\<= 5 X ULN for participants with liver metastases) Renal * Creatinine OR: \<=1.5 X ULN OR * Calculated(b) creatinine clearance (GFR can also be used in place of creatinine or CrCl) \>= 50 mL/min for participant with creatinine levels \> 1.5 X institutional ULN Coagulation * International normalized ratio (INR) OR prothrombin time (PT): \<=1.5 X ULN unless participant is receiving anticoagulant therapy if PT or aPTT is within therapeutic range of intended use of anticoagulants * Activated partial thromboplastin time (aPTT): \<=1.5 X ULN unless participant is receiving anticoagulant therapy if PT or aPTT is within therapeutic range of intended use of anticoagulants ALT (SGPT)=alanine aminotransferase (serum glutamic pyruvic transaminase); AST (SGOT)=aspartate aminotransferase (serum glutamic oxaloacetic transaminase); GFR=glomerular filtration rate; ULN=upper limit of normal. 1. Criteria must be met without erythropoietin dependency and without packed red blood cell (pRBC) transfusion within last 2 weeks. 2. Creatinine clearance (CrCl) should be calculated per institutional standard. * Normal cardiac ejection fraction (\>= 45% by echocardiogram) and no evidence of hemodynamically significant pericardial effusion as determined by an echocardiogram. * Room air oxygen saturation of 90% or greater. * Treatment-related toxicities from prior treatments must be resolved to \<= grade 2. * Participants with CNS metastases, leptomeningeal disease or carcinomatous meningitis are eligible if they are asymptomatic, have completed their treatment for CNS disease and have recovered from the acute effects of radiation therapy or surgery prior to study entry. Participants must have radiographically stable CNS disease without associated edema at least three months prior to study entry. Additionally, participants have had to have discontinued corticosteroid treatment or non-prophylactic antiseizure medications for these metastases at least four weeks prior to study entry. * Participants of child-bearing potential and participants who can father children must agree to use highly effective contraception or abstinence. * Participants who are nursing or plan to nurse a child must agree to discontinue/postpone nursing for the duration of study therapy and for 12 months after the administration of the cell product or for 4 months from the time no evidence of persistence/gene modified cells is documented in the participant s blood. * Ability of participant to understand and the willingness to sign a written informed consent document. EXCLUSION CRITERIA: An individual who meets any of the following criteria will be excluded from participation in this study: * Prior systemic therapy, an investigational therapy, radiation, and/or surgery within 14 days prior to leukapheresis and 21 days prior to lymphodepleting chemotherapy. * Prior administration of anti-PD-1 or anti-PD-L1 antibodies or other agents that in the opinion of the PI can stimulate immune activity and interfere with an infusion of CAR-T cells within 8 weeks prior to treatment initiation. * Participants with any form of primary immunodeficiency (e.g. severe combined immunodeficiency). * Participants with active or history of autoimmune or immune mediated disease such as multiple sclerosis, lupus, inflammatory bowel disease, rheumatoid arthritis, or small vessel vasculitis. NOTE: Participants with vitiligo, endocrine deficiencies including thyroiditis managed with replacement hormones including physiologic corticosteroids are eligible. * History of severe immediate hypersensitivity reaction to cyclophosphamide or fludarabine. * Therapeutic doses of systemic corticosteroid therapy within 14 days prior to treatment initiation. Physiological doses of steroids (up to 5mg/day of prednisolone or equivalent) are allowed. Corticosteroid creams, ointments, and eye drops are allowed. * Participants with lung fibrosis, inflammatory lung disease or evidence of pneumonitis on baseline imaging studies or medical history of these disorders. * Participant has any other prior or concurrent malignancy with the following exceptions: * Adequately treated basal cell or squamous cell carcinoma * In situ carcinoma of the cervix or breast, treated curatively and without evidence of recurrence for at least 12 months prior to initiation of study therapy. * Treated non-melanoma skin cancer. * Stage 0 or 1 melanoma completely resected at least 12 months prior to initiation of study therapy. * Successfully treated organ-confined prostate cancer with no evidence of progressive disease based on PSA levels and are not on active therapy. * A primary malignancy which has been completely resected and in complete remission for \>= 5 years. * Electrocardiogram showing a QTc interval \> 450 msec in males and \> 470 msec in females (\> 80 msec for participants with bundle branch block). Either Fridericia s or Bazett s formula may be used to correct the QT interval. * Participant has active infection with HIV, hepatitis B virus, HCV, or HTLV as defined below: * Positive serology for HIV, HTLV-1, or HTLV-2. * Active hepatitis B infection as demonstrated by test for hepatitis B surface antigen. Participants who are hepatitis B surface antigen negative but are hepatitis B core antibody positive must have undetectable hepatitis B DNA and receive prophylaxis against viral reactivation. * Active hepatitis C infection as demonstrated by hepatitis C RNA test. Participants who are HCV antibody positive will be screened for HCV RNA by any reverse transcription PCR or branched DNA assay. If HCV antibody is positive, eligibility will be determined based on a negative screening RNA value. * Participant is pregnant or intends to be pregnant during the required period of contraception for participants of childbearing potential. * Participants who received live or attenuated vaccine or virus-based vaccine within 30 days before initiation of treatment initiation * Participants with a history of seizure disorder unless due to now treated metastatic lesions. * Ongoing uncontrolled intercurrent illness, including but not limited to ongoing or active infection, that would impact participant safety or limit compliance with study requirements.Treatment
- Devicemesothelin expression testingAssay done at screening to determine mesothelin expression levels
- BiologicalTNhYP217 CAR T CellsVariable doses, administered intravenously on Day 0
- Drugfludarabine30 mg/m\^2 IV infusion administered followed by cyclophosphamide on days both are given. Daily x 4 doses on Day -7, -6, -5 and -4
- Drugcyclophosphamide600 mg/m\^2 IV infusion. Daily x 3 doses on Day -6, -5, -4
Understanding Clinical Trials
Clinical trials test new treatments before they become widely available. For people with mesothelioma, trials often provide access to therapies that may be more effective than standard care.
Pleural and peritoneal trials
Most mesothelioma starts in one of two places, and many trials enroll by type. Pleural mesothelioma forms in the lining around the lungs and is the most common form. Peritoneal mesothelioma forms in the lining of the abdomen. Use the Pleural and Peritoneal filters above the list to narrow it to trials enrolling your type. Some trials accept any mesothelioma, so they appear under both.
Trial Phases Explained
Phase 1
Tests safety and dosing in a small group (15 to 30 participants). Focuses on finding the right dose with acceptable side effects.
22 trialsPhase 2
Tests effectiveness in a larger group (30 to 100 participants). Evaluates whether the treatment shows promise against the cancer.
17 trialsPhase 3
Compares the new treatment to standard care (100 to 1,000+ participants). Success here can lead to FDA approval.
1 trialsTreatment Categories
Immunotherapy
Treatments that help your immune system fight cancer, including checkpoint inhibitors like pembrolizumab and nivolumab.
31 trialsCAR-T Cell Therapy
Engineered immune cells designed to target mesothelin and other proteins on mesothelioma cells.
4 trialsTargeted Therapy
Drugs that target specific molecular pathways involved in mesothelioma growth.
7 trialsChemotherapy
New chemotherapy combinations or delivery methods, often paired with immunotherapy.
13 trialsHow to Enroll
- Talk to your oncologist: Discuss whether a clinical trial might be appropriate for your situation.
- Check eligibility: Each trial has specific criteria for who can participate.
- Contact the trial coordinator: Use the contact information on ClinicalTrials.gov.
- Understand the commitment: Trials may require additional visits, tests, and follow-up.