At a glance
ClinicalIndex Comparison Record- ✓Histologically or cytologically confirmed advanced mesothelioma of the pleura
- ✓Measurable disease by RECIST criteria or evaluable by mesothelioma response criteria within 4 weeks of randomization
- ✓ECOG Performance Status 0 or 1
- ✓Age 18 years or older
- ✕Candidate for curative surgery
- ✕Prior systemic chemotherapy for mesothelioma (prior intracavitary cytotoxic drugs/immunomodulators allowed only for pleurodesis)
- ✕Prior radiation to target lesion unless clearly progressing per RECIST with ≥4 weeks since last radiation
- ✕Active infection or serious concomitant systemic disorder
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Pemetrexed Plus Gemcitabine Or Carboplatin In Patients With Advanced Malignant Mesothelioma: A Randomized Phase II Trial
In Brief
A Phase 2 clinical trial evaluating pemetrexed disodium, gemcitabine hydrochloride, and 1 other intervention for Mesothelioma. Completed, enrolled 32 participants across 115 sites.
Detailed Summary
RATIONALE: Drugs used in chemotherapy, such as pemetrexed disodium, gemcitabine, and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. It is not yet known whether giving pemetrexed disodium with gemcitabine is more effective than giving pemetrexed disodium with carboplatin in treating malignant pleural mesothelioma. PURPOSE: This randomized phase II trial is studying pemetrexed disodium with gemcitabine and pemetrexed disodium with carboplatin to see how well the combinations work compared to historical controls in treating patients with advanced malignant pleural mesothelioma.
Study Details
Timeline
Interventions
500 mg/m2 IV over 10 minutes on day 1 of a 21-day cycle
1000 mg/m2 IV over 30 minutes on days 1 and 8 of a 21-day cycle
Given by IV over 30 minutes at an area under the curve (AUC) of 5 on day 1 of a 21-day cycle