Axitinib in Malignant Mesothelioma
Malignant Pleural Mesothelioma
Conditions: official terms
Lung Neoplasms - Mesothelioma
Conditions: Keywords
mesothelioma, chemotherapy, translational research, axitinib
Study Type
Study Phase
Phase 1/Phase 2
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Name: axitinib Type: Biological
Name: chemotherapy Type: Drug
Overall Status
The purpose of this study is to investigate the effects of axitinib, a potent angiogenesis inhibitor, on tissue and clinical outcome in combination with chemotherapy given to patients with mesothelioma
Detailed Description
To determine the effects of the addition of axitinib to standard chemotherapy on tissue samples with respect to micro-vessel density (MVD): expression of VEGF-Receptor; PDGF receptor expression; extent of necrosis and apoptosis.

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

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

Serum samples will be collected and tested for inhibiting effects in a tube formation and spheroid sprouting assay.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- histologically or cytologically diagnosed malignant mesothelioma

- age > 18 years

- Medically suitable for limited surgical intervention (pleural biopsies or limited pleurectomy)

- Measurable or evaluable disease is not required

- Ability to understand the study and give signed informed consent including the approval to accept a second thoracoscopic or surgical treatment after the third course

- No previous chemotherapy

- Radiotherapy is allowed when this is given for palliation, the interval is > 4 weeks, not more than 1/3 of the bone marrow capacity or all tumor is within the irradiation field.

- WHO performance status =< 2

- Adequate organ function as evidenced by the following peripheral blood counts or serum chemistries at study entry:


- ANC=>1.5 x 109/L,

- Platelets=>150 x 109/L,

- Hemoglobin => 6,0 mmol/l


- total serum bilirubin < UNL;

- AST and ALT= < 2.5xUNL,

- AP < 5xUNL (unless bone metastases are present in the absence or any liver disease)

- Serum creatinine =< 2xUNL

Exclusion Criteria:

- Active uncontrolled infection, severe cardiac dysfunction or uncorrectable bleeding tendency

- Previous successful pleurodesis

- Uncontrolled hypertension

- Symptomatic peripheral neuropathy => grade 2 according to NCIC CTC,version 3.0

- Presence of symptomatic CNS metastases

- Unstable peptic ulcer, unstable diabetes mellitus or other serious disabling condition

- Concomitant administration to any other experimental drugs under investigation

- Impaired renal function
Antoni van Leeuwenhoekziekenhuis (NKI-AVL)
Amsterdam, Noord-Holland, Netherlands
Status: Recruiting
Contact: P Baas, Dr. - +31 (0)20-5122958 -
Start Date
May 2009
Completion Date
September 2010
The Netherlands Cancer Institute
The Netherlands Cancer Institute
Record processing date processed this data on July 28, 2015 page